A Case of Midgut Volvulus with Gastric Perforation and Periveintricular Leukomalacia in a Term Infant

Abstract

Intestinal malrotation with midgut volvulus (MV) is a life-threatening surgical emer gency. Most events of MV occur in the neonatal period with bilious vomiting, abdominal distension, feeding intolerance, and bloody stools. Neonatal gastric perforation (GP) is a rare and life-threatening condition associated with high mortality. It occurs either in an idiopathic form or in association with gastrointestinal anomalies such as duodenal atresia and MV. The pathogenesis of both MV and GP is related to ischemic change and inflammatory response. MV and GP can lead to morbidities such as sepsis, intestinal ischemia, and organ failure, but not neurologic problems. We herein report the case of a term infant at 5 days after birth, with MV accompanied by GP, who developed periventricular leukomalacia.

Diagnostic Accuracy and Safety of Ultrasonography for Intestinal Malrotation in the Pediatric Population

“…A population-based study showed intestinal malrotation decreases with age, with 15 in 1 million children < 1 year and 10 in 1 million children aged 1 to 2 years.(1). The investigation of choice for intestinal malrotation is the upper gastrointestinal contrast study (UGICS) (2,3). UGICS has high sensitivity but can decrease in the case of volvulus.…”