Abstract

Neonatal intestinal volvulus in the absence of malrotation is a rare occurrence and rarer still is intestinal volvulus in absence of any other predisposing factors. Primary segmental vol­vulus in neonates is very rare entity which can have catastrophic outcome if not intervened at appropriate time. We report two such cases which were preoperatively diagnosed as ileal atresia and intraoperatively revealed to be primary segmental volvulus of the ileum.

Highlights

  • Most cases of volvulus in the children, including the newborns, involve the midgut and are secondary to malrotation

  • Most cases of intestinal volvulus in children are associated with malrotation

  • Some studies suggest that intestinal volvulus without malrotation occurs in 19-26% of the small bowel volvulus in children [1, 5]

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Summary

Primary Segmental Volvulus Mimicking Ileal Atresia

Raghu Shankar,* Sadashiva Rao1, Kishan B Shetty1 *Department of Pediatric Surgery, Justice K.S.Hegde Medical College and Hospital, K.S.Hegde Medical Academy, NIITE University, Mangalore, Karnataka, India. 1Department of Surgery, Kasturba Medical College, Mangalore, Manipal University, Karnataka, India

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