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The surgery of malrotation and midgut volvulus: a nine year experience in neonates

Thirty four neonates presented with acute duodenal obstruction due to malrotation during a 9 year period between 1973 and the end of 1981. Of these, 20 patients (58.8%) presented in the first week of life, and 24 (70.5%) had an associated midgut volvulus. This frequent association is stressed as bow...

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Bibliographic Details
Published in:Annals of the Royal College of Surgeons of England 1983-07, Vol.65 (4), p.244-247
Main Authors: Welch, G H, Azmy, A F, Ziervogel, M A
Format: Article
Language:English
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Summary:Thirty four neonates presented with acute duodenal obstruction due to malrotation during a 9 year period between 1973 and the end of 1981. Of these, 20 patients (58.8%) presented in the first week of life, and 24 (70.5%) had an associated midgut volvulus. This frequent association is stressed as bowel necrosis occurs very rapidly. Massive gangrene of small bowel was present in 5 patients, extensive resection was necessary in 3 patients, of whom 2 died postoperatively (5.8%). Five patients required reoperation and 10 had additional G.I. malformations (29.4%).
ISSN:0035-8843
1478-7083