The surgery of malrotation and midgut volvulus: a nine year experience in neonates.
Thirty four neonates presented with acute duodenal obstruction due to malrotation during a 9 year period between 1973 and the end of 1981. Of these, 20 patients (58.8%) presented in the first week of life, and 24 (70.5%) had an associated midgut volvulus. This frequent association is stressed as bowel necrosis occurs very rapidly. Massive gangrene of small bowel was present in 5 patients, extensive resection was necessary in 3 patients, of whom 2 died postoperatively (5.8%). Five patients required reoperation and 10 had additional G.I. malformations (29.4%).
D000208:Acute Disease; D004065:Digestive System Abnormalities; D004380:Duodenal Obstruction / Q000151:congenital / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007409:Intestinal Atresia / Q000150:complications; D007415:Intestinal Obstruction / Q000151:congenital* / Q000209:etiology / Q000601:surgery; D007422:Intestines / Q000002:abnormalities* / Q000601:surgery; D008297:Male; D012399:Rotation