Advances in Surgical Sciences
Volume 7, Issue 1, June 2019, Pages: 1-4
Received: Nov. 23, 2018;
Accepted: Jan. 21, 2019;
Published: Feb. 7, 2019
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Samuel Chidi Ekpemo, Department of Surgery, Abia State University, Aba, Nigeria
Lisa Eweputanna, Department of Radiology, Abia State University, Aba, Nigeria
Emeka Nkwo, Department of Obstetrics and Gynaecology, Federal Medical Center, Umuahia, Nigeria
Background: The anomalies of rotation, migration and fixation of the intestines are of intense interest to the pediatric surgeon, as they are frequently associated with midgut volvulus which has catastrophic consequences when diagnosis is delayed or even not considered. This study evaluates the outcomes of surgical management of intestinal malrotation in children. Materials and Methods: The medical records of all patients with symptomatic malrotation, who underwent surgery between January 2010 and September 2018, were reviewed. Patients' demographic characteristics, clinical features management, complications, and outcome were evaluated. Results: Ten patients (nine boys and a girl) underwent surgery for malrotation at a median age of 3months. Eight presented with acute symptoms and two with chronic symptoms. All the patients had symptoms of intermittent or complete upper intestinal obstruction, and malrotation was documented by an upper gastrointestinal contrast study in six of them. Volvulus was found at the time of surgery in 5 patients, three of whom were neonates. Eight patients were treated by Ladd's operation. Median length of stay was 10 days. One patient with massive bowel gangrene due to volvulus had right hemicolectomy. There was two perioperative death from anastomostic leak and septicaemia with an overall mortality of 20%. Conclusion: Bowel gangrene from volvulus contributes to mortality and small bowel adhesive intestinal obstruction is a cause of morbidity and mortality following surgery for intestinal malrotation. Neonates with bilious vomiting should raise the suspicion of malrotation until proven otherwise and given prompt intervention.
Samuel Chidi Ekpemo,
Childhood Intestine Rotation Anomalies in Aba, Nigeria, Advances in Surgical Sciences.
Vol. 7, No. 1,
2019, pp. 1-4.
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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