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Pediatric idiopathic midgut volvulus and shock in the infant

2020-12Journal article Open access
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dc.contributor.authorMaciel, Juliana
dc.contributor.authorSantos, Ana Luísa
dc.contributor.authorMarinho, Ana Sofia
dc.contributor.authorFigueiredo, Susana
dc.contributor.authorAraújo, Ana Rita
dc.contributor.authorMorgado, Hélder
dc.contributor.authorBanquart Leitão, José
dc.contributor.authorSarmento, Alzira
dc.contributor.authorRibeiro Fernandes, Sofia
dc.contributor.authorFerreira, Paula Regina
dc.date.accessioned2021-11-23T11:28:12Z
dc.date.available2021-11-23T11:28:12Z
dc.date.issued2020-12
dc.description.abstractIntroduction: Intestinal volvulus is a surgical emergency in which a segment of the intestine twists over its mesenteric attachment, causing bowel obstruction. It usually presents with bilious vomiting and can progress to bowel necrosis and shock. Case Report: A 40-days-old male infant presented with acute onset irritability, bilious vomiting, abdominal distention, and hematochezia. He rapidly evolved to shock with metabolic acidosis and coagulopathy, requiring fluid resuscitation, vasoactive agents, and invasive mechanical ventilation. The patient was submitted to urgent laparotomy, confirming midgut volvulus without malrotation. Partial reperfusion of the affected midgut was achieved, with no resection initially performed, but 48 hours later he was re-evaluated and partial enterectomy for midgut necrosis was performed. Despite the condition´s severity, the patient had a good evolution with full recovery. Discussion: Bilious vomiting in the infant is highly suggestive of intestinal obstruction. The authors emphasize the presence of midgut volvulus without malrotation, complicated with bowel necrosis and shock.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationMaciel J, Santos AL, Marinho AS, Figueiredo S, Araújo AR, Morgado H, Banquart-Leitão J, Sarmento A, Ribeiro-Fernandes S, Ferreira PR, Nascer e Crescer - Birth and Growth Medical Journal 2020;29(4): 212-214. doi:10.25753/BirthGrowthMJ.v29.i4.18738pt_PT
dc.identifier.doi10.25753/BirthGrowthMJ.v29.i4.18738pt_PT
dc.identifier.issn2183-9417
dc.identifier.urihttp://hdl.handle.net/10400.16/2613
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherCentro Hospitalar Universitário do Portopt_PT
dc.relation.publisherversionhttps://revistas.rcaap.pt/nascercrescer/article/view/18738pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectidiopathicpt_PT
dc.subjectinfantpt_PT
dc.subjectintestinal volvuluspt_PT
dc.subjectshockpt_PT
dc.titlePediatric idiopathic midgut volvulus and shock in the infantpt_PT
dc.title.alternativeVólvulo intestinal idiopático e choque no lactentept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlacePorto, Portugalpt_PT
oaire.citation.endPage214pt_PT
oaire.citation.issue4pt_PT
oaire.citation.startPage212pt_PT
oaire.citation.titleNascer e Crescer - Birth and Growth Medical Journalpt_PT
oaire.citation.volume29pt_PT
person.familyNameMaciel
person.givenNameJuliana
person.identifier.orcid0000-0003-4711-8842
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication6e9a6761-5e5a-4788-9e31-63e46834736c
relation.isAuthorOfPublication.latestForDiscovery6e9a6761-5e5a-4788-9e31-63e46834736c

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