title: Thrombolysis for Severe Intestinal Ischemia due to Midgut Volvulus in a Neonate.
abstract: Intestinal malrotation complicated by the development of midgut volvulus presents a difficult management dilemma because of the risk of short bowel syndrome. Here, we present our experience with a case of severe intestinal ischemia after derotation in a newborn successfully managed using systemic tissue plasminogen activator. The present report supports the usefulness of thrombolysis as a therapeutic option for reperfusion of ischemic small bowel due to midgut volvulus in neonates.
authors.affiliation: Department of General, Digestive and Pediatric Surgery, Sint-Augustinus Hospital, Wilrijk, Belgium.
authors.forename: Nouredin
authors.initials: N
authors.lastname: Messaoudi
authors.affiliation: Department of Pediatrics, Sint-Augustinus Hospital, Wilrijk, Belgium.
authors.forename: Koen
authors.initials: K
authors.lastname: Vanlede
authors.affiliation: Department of Pediatric Surgery, ZNA Queen Paola Children's Hospital, Antwerp, Belgium.
authors.forename: Dirk
authors.initials: D
authors.lastname: Vervloessem
authors.affiliation: Department of General, Digestive and Pediatric Surgery, Sint-Augustinus Hospital, Wilrijk, Belgium.
authors.forename: Marc
authors.initials: M
authors.lastname: Huyghe
authors.affiliation: Department of General, Digestive and Pediatric Surgery, Sint-Augustinus Hospital, Wilrijk, Belgium.
authors.forename: Paul
authors.initials: P
authors.lastname: Leyman
keywords: intestinal ischemia; malrotation; thrombolysis