title: Supraventricular tachycardia as a presenting feature of volvulus in a 15-month-old boy.
abstract: A 15-month-old boy presented in shock with a supraventricular tachycardia following a 12-h history of worsening abdominal pain and vomiting. The supraventricular tachycardia reverted to sinus tachycardia with fluid resuscitation and adenosine. He was noted to have a distended and firm abdomen. A presumptive diagnosis of intestinal ischaemia was subsequently confirmed at laparotomy when an internal hernia with a distal small bowel volvulus and necrosis was found. Intestinal ischaemia presenting with a life-threatening cardiac dysrhythmia in a child appears not to have been reported previously.
authors.affiliation: Department of Academic Surgery and Helen McMillan Paediatric Intensive Care Unit, The Children's Hospital at Westmead, Australia.
authors.forename: Anita S W
authors.initials: AS
authors.lastname: Jacombs
authors.forename: Kate M
authors.initials: KM
authors.lastname: Cross
authors.forename: Andrew J A
authors.initials: AJ
authors.lastname: Holland
authors.forename: Barry H
authors.initials: BH
authors.lastname: Wilkins
mesh_terms: D006801:Humans; D007223:Infant; D045822:Intestinal Volvulus / Q000150:complications* / Q000601:surgery; D007421:Intestine, Small / Q000098:blood supply / Q000473:pathology; D007511:Ischemia / Q000150:complications; D007813:Laparotomy; D008297:Male; D013617:Tachycardia, Supraventricular / Q000209:etiology*