Vólvulo de intestino medio: a propósito de dos casos.

Abstract

Intestinal malrotation is defined as an alteration in the rotation and fixation of the intestine during the fetal stage. It can present with a wide clinical spectrum ranging from acute volvulus to chronic duodenal obstruction. Its clinical presentation is therefore also very varied, from asymptomatic patients in whom the diagnosis can be made as a finding, to extremely serious symptoms such as a midgut volvulus. Midgut volvulus is the most severe manifestation of this malformation spectrum, and its presentation without ischemia in asymptomatic patients is a rare formof presentation. The objective of this work is to present the clinical history of two patients with intestinal malrotation who presented a midgut volvulus in the neonatal period. In both cases, a Ladd procedure was performed, requiring in the first patient a extensive intestinal resection due to intestinal necrosis. Both had a good progress in the postoperative period.