Neonatal Intestinal Obstruction Secondary to Mid-Gut Volvulus Complicated by Bowel Gangrene in a Neonate with Ileal Atresia: A Case Report

Baba Usman Ahmadu; Yakubu Mava; Joshua Habila Sharah; Abdurrahman Raji Maryam; Paul Dogra; Salihu Akbar

doi:doi:10.11648/j.cmr.20130205.12

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Neonatal Intestinal Obstruction Secondary to Mid-Gut Volvulus Complicated by Bowel Gangrene in a Neonate with Ileal Atresia: A Case Report

Baba Usman Ahmadu, Yakubu Mava, Joshua Habila Sharah, Abdurrahman Raji Maryam, Paul Dogra, Salihu Akbar

Published in Clinical Medicine Research (Volume 2, Issue 5)

Received: 20 August 2013 Published: 20 September 2013

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Abstract

Mid-gut volvulus in the absence of malrotation of the gut is rare in neonates and rarer in term babies and can be fatal if intervention is delayed. Herein we report a case of a neonate who had billous vomiting, abdominal distension and moderate dehydration. His abdominal radiograph showed gaseous distension of the stomach, ground glass pattern and calcifications. Exploratory laparotomy revealed mid-gut volvulus complicated by atresia and 75 centimeter length of intestinal gangrene involving the distal one-third of the jejunum and ileum. However, no evidence of malrotation of the gut was found. Resection of the gangrenous segment with jejuno-caecal anastomosis was carried out in addition to blood transfusion, antibiotic and fluid therapy. Patient’s condition improved, he passed stools on the 5th postoperative day, and oral sips were commenced.

Published in	Clinical Medicine Research (Volume 2, Issue 5)
DOI	10.11648/j.cmr.20130205.12
Page(s)	101-104
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2013. Published by Science Publishing Group

Keywords

Mid-Gut Volvulus without Malrotation, Term Neonate, Special Care Baby Unit, Federal Medical Centre Yola, Nigeria

References

[1]	Raghu S, Sadashiva R, Kishan BS. Primary Segmental Volvulus Mimicking Ileal Atresia. J Neonat Surg 2013;2:6-9.
[2]	Ekenze SO, Ibeziako SN, Ezomike UO. Trends in neonatal intestinal obstruction in a developing country, 1996–2005. World J Surg 2007;31:2405–09.
[3]	Gilbertson-Dahdal DL, Dutta S, Varich LJ, Barth RA. Neonatal Malrotation with Midgut Volvulus Mimicking Duodenal Atresia. AJR 2009; 192:1269–71.
[4]	Louw JH, Barnard CN. Congenital intestinal atresia: observations on its origin. Lancet 1955;269:1065–67.
[5]	Ameh EA, Nmadu PT. Intestinal volvulus: aetiology, morbidity, and mortality in Nigerian children. Pediatr Surg Int 2000;16:50-2.
[6]	Usmani SS, Kenigsberg K. Intrauterine volvulus without malrotation. J Pediatr Surg 1991;26:1409-10.
[7]	Kitano Y, Hashizume K, Okhura M. Segmental small bowel volvulus not associated with malrotation in childhood. Pediatr Surg Int 1995;10:335-38.
[8]	Jung E, Choi SO, Park WH. Primary segmental volvulus of the ileum mimicking meconium plug syndrome. J Korean Surg Soc. 2011;80: 85-7.
[9]	Traubici J. The double bubble sign. Radiol 2001;220:463–64.
[10]	Vergnes Boissinot F, Pontailler JR. Primary volvulus of the small intestine without malrotation. Apropos of 7 cases. Ann Pediatr 1989;36:141-7.

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APA Style

Baba Usman Ahmadu, Yakubu Mava, Joshua Habila Sharah, Abdurrahman Raji Maryam, Paul Dogra, et al. (2013). Neonatal Intestinal Obstruction Secondary to Mid-Gut Volvulus Complicated by Bowel Gangrene in a Neonate with Ileal Atresia: A Case Report. Clinical Medicine Research, 2(5), 101-104. https://doi.org/10.11648/j.cmr.20130205.12

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ACS Style

Baba Usman Ahmadu; Yakubu Mava; Joshua Habila Sharah; Abdurrahman Raji Maryam; Paul Dogra, et al. Neonatal Intestinal Obstruction Secondary to Mid-Gut Volvulus Complicated by Bowel Gangrene in a Neonate with Ileal Atresia: A Case Report. Clin. Med. Res. 2013, 2(5), 101-104. doi: 10.11648/j.cmr.20130205.12

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AMA Style

Baba Usman Ahmadu, Yakubu Mava, Joshua Habila Sharah, Abdurrahman Raji Maryam, Paul Dogra, et al. Neonatal Intestinal Obstruction Secondary to Mid-Gut Volvulus Complicated by Bowel Gangrene in a Neonate with Ileal Atresia: A Case Report. Clin Med Res. 2013;2(5):101-104. doi: 10.11648/j.cmr.20130205.12

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@article{10.11648/j.cmr.20130205.12,
  author = {Baba Usman Ahmadu and Yakubu Mava and Joshua Habila Sharah and Abdurrahman Raji Maryam and Paul Dogra and Salihu Akbar},
  title = {Neonatal Intestinal Obstruction Secondary to Mid-Gut Volvulus Complicated by Bowel Gangrene in a Neonate with Ileal Atresia: A Case Report},
  journal = {Clinical Medicine Research},
  volume = {2},
  number = {5},
  pages = {101-104},
  doi = {10.11648/j.cmr.20130205.12},
  url = {https://doi.org/10.11648/j.cmr.20130205.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20130205.12},
  abstract = {Mid-gut volvulus in the absence of malrotation of the gut is rare in neonates and rarer in term babies and can be fatal if intervention is delayed. Herein we report a case of a neonate who had billous vomiting, abdominal distension and moderate dehydration. His abdominal radiograph showed gaseous distension of the stomach, ground glass pattern and calcifications. Exploratory laparotomy revealed mid-gut volvulus complicated by atresia and 75 centimeter length of intestinal gangrene involving the distal one-third of the jejunum and ileum. However, no evidence of malrotation of the gut was found. Resection of the gangrenous segment with jejuno-caecal anastomosis was carried out in addition to blood transfusion, antibiotic and fluid therapy. Patient’s condition improved, he passed stools on the 5th postoperative day, and oral sips were commenced.},
 year = {2013}
}

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TY  - JOUR
T1  - Neonatal Intestinal Obstruction Secondary to Mid-Gut Volvulus Complicated by Bowel Gangrene in a Neonate with Ileal Atresia: A Case Report
AU  - Baba Usman Ahmadu
AU  - Yakubu Mava
AU  - Joshua Habila Sharah
AU  - Abdurrahman Raji Maryam
AU  - Paul Dogra
AU  - Salihu Akbar
Y1  - 2013/09/20
PY  - 2013
N1  - https://doi.org/10.11648/j.cmr.20130205.12
DO  - 10.11648/j.cmr.20130205.12
T2  - Clinical Medicine Research
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JO  - Clinical Medicine Research
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PB  - Science Publishing Group
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UR  - https://doi.org/10.11648/j.cmr.20130205.12
AB  - Mid-gut volvulus in the absence of malrotation of the gut is rare in neonates and rarer in term babies and can be fatal if intervention is delayed. Herein we report a case of a neonate who had billous vomiting, abdominal distension and moderate dehydration. His abdominal radiograph showed gaseous distension of the stomach, ground glass pattern and calcifications. Exploratory laparotomy revealed mid-gut volvulus complicated by atresia and 75 centimeter length of intestinal gangrene involving the distal one-third of the jejunum and ileum. However, no evidence of malrotation of the gut was found. Resection of the gangrenous segment with jejuno-caecal anastomosis was carried out in addition to blood transfusion, antibiotic and fluid therapy. Patient’s condition improved, he passed stools on the 5th postoperative day, and oral sips were commenced.
VL  - 2
IS  - 5
ER  -

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Author Information

Baba Usman Ahmadu

Department of Paediatrics, Federal Medical Centre Yola, P. O. Box 200, Jimeta-Yola, Adamawa State, Nigeria
Yakubu Mava

Department of Paediatrics Bingham University, Jos, Plateau state, Nigeria
Joshua Habila Sharah

Department of Paediatrics Federal Medical Centre Yola, Nigeria
Abdurrahman Raji Maryam

Department of Paediatrics Federal Medical Centre Yola, Nigeria
Paul Dogra

Department of Paediatrics Federal Medical Centre Yola, Nigeria
Salihu Akbar

Department of Paediatrics Federal Medical Centre Yola, Nigeria

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Plain Text BibTeX RIS

APA Style

Baba Usman Ahmadu, Yakubu Mava, Joshua Habila Sharah, Abdurrahman Raji Maryam, Paul Dogra, et al. (2013). Neonatal Intestinal Obstruction Secondary to Mid-Gut Volvulus Complicated by Bowel Gangrene in a Neonate with Ileal Atresia: A Case Report. Clinical Medicine Research, 2(5), 101-104. https://doi.org/10.11648/j.cmr.20130205.12

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ACS Style

Baba Usman Ahmadu; Yakubu Mava; Joshua Habila Sharah; Abdurrahman Raji Maryam; Paul Dogra, et al. Neonatal Intestinal Obstruction Secondary to Mid-Gut Volvulus Complicated by Bowel Gangrene in a Neonate with Ileal Atresia: A Case Report. Clin. Med. Res. 2013, 2(5), 101-104. doi: 10.11648/j.cmr.20130205.12

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AMA Style

Baba Usman Ahmadu, Yakubu Mava, Joshua Habila Sharah, Abdurrahman Raji Maryam, Paul Dogra, et al. Neonatal Intestinal Obstruction Secondary to Mid-Gut Volvulus Complicated by Bowel Gangrene in a Neonate with Ileal Atresia: A Case Report. Clin Med Res. 2013;2(5):101-104. doi: 10.11648/j.cmr.20130205.12

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@article{10.11648/j.cmr.20130205.12,
  author = {Baba Usman Ahmadu and Yakubu Mava and Joshua Habila Sharah and Abdurrahman Raji Maryam and Paul Dogra and Salihu Akbar},
  title = {Neonatal Intestinal Obstruction Secondary to Mid-Gut Volvulus Complicated by Bowel Gangrene in a Neonate with Ileal Atresia: A Case Report},
  journal = {Clinical Medicine Research},
  volume = {2},
  number = {5},
  pages = {101-104},
  doi = {10.11648/j.cmr.20130205.12},
  url = {https://doi.org/10.11648/j.cmr.20130205.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20130205.12},
  abstract = {Mid-gut volvulus in the absence of malrotation of the gut is rare in neonates and rarer in term babies and can be fatal if intervention is delayed. Herein we report a case of a neonate who had billous vomiting, abdominal distension and moderate dehydration. His abdominal radiograph showed gaseous distension of the stomach, ground glass pattern and calcifications. Exploratory laparotomy revealed mid-gut volvulus complicated by atresia and 75 centimeter length of intestinal gangrene involving the distal one-third of the jejunum and ileum. However, no evidence of malrotation of the gut was found. Resection of the gangrenous segment with jejuno-caecal anastomosis was carried out in addition to blood transfusion, antibiotic and fluid therapy. Patient’s condition improved, he passed stools on the 5th postoperative day, and oral sips were commenced.},
 year = {2013}
}

Copy | Download

TY  - JOUR
T1  - Neonatal Intestinal Obstruction Secondary to Mid-Gut Volvulus Complicated by Bowel Gangrene in a Neonate with Ileal Atresia: A Case Report
AU  - Baba Usman Ahmadu
AU  - Yakubu Mava
AU  - Joshua Habila Sharah
AU  - Abdurrahman Raji Maryam
AU  - Paul Dogra
AU  - Salihu Akbar
Y1  - 2013/09/20
PY  - 2013
N1  - https://doi.org/10.11648/j.cmr.20130205.12
DO  - 10.11648/j.cmr.20130205.12
T2  - Clinical Medicine Research
JF  - Clinical Medicine Research
JO  - Clinical Medicine Research
SP  - 101
EP  - 104
PB  - Science Publishing Group
SN  - 2326-9057
UR  - https://doi.org/10.11648/j.cmr.20130205.12
AB  - Mid-gut volvulus in the absence of malrotation of the gut is rare in neonates and rarer in term babies and can be fatal if intervention is delayed. Herein we report a case of a neonate who had billous vomiting, abdominal distension and moderate dehydration. His abdominal radiograph showed gaseous distension of the stomach, ground glass pattern and calcifications. Exploratory laparotomy revealed mid-gut volvulus complicated by atresia and 75 centimeter length of intestinal gangrene involving the distal one-third of the jejunum and ileum. However, no evidence of malrotation of the gut was found. Resection of the gangrenous segment with jejuno-caecal anastomosis was carried out in addition to blood transfusion, antibiotic and fluid therapy. Patient’s condition improved, he passed stools on the 5th postoperative day, and oral sips were commenced.
VL  - 2
IS  - 5
ER  -

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