https://scholars.lib.ntu.edu.tw/handle/123456789/476195
標題: | Primary volvulus of the ileum in a preterm infant | 作者: | Chen Y. SHENG-HONG TSENG HONG-SHIEE LAI Chen W.-J. |
公開日期: | 2003 | 卷: | 102 | 期: | 12 | 起(迄)頁: | 896-898 | 來源出版物: | Journal of the Formosan Medical Association | 摘要: | Primary volvulus of the small intestine is rare in neonates. We report a case of primary volvulus of the ileum in a preterm newborn. Vomiting and abdominal distension began 10 hours after birth, followed by hypovolemia, hyponatremia, and acidosis. Plain abdominal radiograph revealed a pattern of diffuse ileus and very dilated loops at the right upper quadrant of the abdomen. Three days later, another plain film showed increased fluid accumulation and decreased air in these dilated loops. Emergency laparotomy revealed primary volvulus of the distal ileum with gangrenous change. Resection of the necrotic ileum with an end-to-end ileoileostomy was performed and the patient recovered fully. In a newborn with ileus and rapidly deteriorating hemodynamics, early surgical intervention is essential to achieve good prognosis. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-2342650908&partnerID=40&md5=7ed8e079a1e7b972f09e294575e2f644 https://scholars.lib.ntu.edu.tw/handle/123456789/476195 |
ISSN: | 0929-6646 | SDG/關鍵字: | sodium; abdominal distension; abdominal radiography; acidosis; article; case report; childbirth; convalescence; deterioration; emergency surgery; end to end anastomosis; female; follow up; gangrene; hemodynamic parameters; hospital discharge; human; hyponatremia; hypovolemia; ileostomy; ileus; infant; intestine necrosis; intestine resection; intestine volvulus; laparotomy; prematurity; prognosis; time; vomiting; Female; Humans; Ileal Diseases; Infant, Newborn; Infant, Premature; Infant, Premature, Diseases; Intestinal Volvulus |
顯示於: | 醫學系 |
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