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Vol. 6 No. 1 (2020)

August 2020

Malrotation with Distal Duodenal Necrosis in a Neonate

  • Vinit kumar Thakur
  • Digamber Chaubey
  • Vijayendra Kumar
  • Ramdhani Yadav
  • Deepak Kumar
  • Sandip Kumar Rahul

Iranian Journal of Pediatric Surgery, Vol. 6 No. 1 (2020), 11 August 2020 , Page 54-58
https://doi.org/10.22037/irjps.v6i1.31707 Published: 2020-08-11

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Abstract

Malrotation with midgut volvulus often results in gangrene of midgut with relative sparing of duodenum. An extremely unusual case of Malrotation with isolated necrosis of distal duodenum is described with brief review of literature. Isolated duodenal necrosis in association with malrotation is very rare; it increases the complexity of surgery and prolongs hospital stay.

Keywords:
  • Duodenum
  • Gangrene
  • Malrotation
  • Volvulus
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How to Cite

kumar Thakur, V. ., Chaubey, D. ., Kumar, V., Yadav, R. ., Kumar, D. ., & Kumar Rahul, S. (2020). Malrotation with Distal Duodenal Necrosis in a Neonate. Iranian Journal of Pediatric Surgery, 6(1), 54–58. https://doi.org/10.22037/irjps.v6i1.31707
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References

1. Dilley AV, Pereira J, Shi EC, et al: The radiologist says malrotation: does the surgeon operate? Pediatr Surg Int 2000;16:45-9.
2. C.L. Berseth: Disorders of the intestines and pancreas, in W.H. Taeusch, R.A. Ballard (eds.): Avery’s Diseases of the Newborn. WB Saunders, Philadelphia, 1998, p 918.
3. Rattan KN, Singh J, Dalal P: Neonatal duodenal obstruction: a 15-year experience. J Neonat Surg 2016; 5:13.
4. Kumar P, Kumar C, Pandey PR, et al: Congenital duodenal obstruction in neonates: Over 13 years’ experience from a single centre. J Neonat Surg 2016; 5:50.
5. Yanez R, Spitz L: Intestinal malrotation presenting outside the neonatal period. Arch Dis Child 1986;61:682-5.
6. Sakorafas GH, Tsiotos GG, Sarr MG: Experience with duodenal necrosis: A rare complication of acute necrotizing pancreatitis. Int J Pancreatol 1999; 25: 139-42
7. Arcerito M, Margulies DR, Frykman PK: Duodenal necrosis secondary to a closed-loop bowel obstruction with novel reconstruction. J Pediatr Surg 2012; 47: 394-6.
8. Jabłoński S, Kustalik S, Klejszmit P, et al: Total duodenal necrosis with retroperitoneal perforation in an adolescent with jejunal intussusceptions. J Dig Dis 2016; 17: 483-5.
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