2024-03-28T16:03:41Z
https://nagoya.repo.nii.ac.jp/oai
oai:nagoya.repo.nii.ac.jp:00018441
2023-11-16T05:20:48Z
499:508:509:1637
FULL-THICKNESS SMALL INTESTINE NECROSIS WITH MIDGUT VOLVULUS, DISTRIBUTED IN A PATCHY FASHION, IS REVERSIBLE WITH MODERATE BLOOD FLOW : RESUMPTION OF NORMAL FUNCTION TO NON-VIABLE INTESTINE
AMANO, HIZURU
53635
UCHIDA, HIROO
53636
KAWASHIMA, HIROSHI
53637
TANAKA, YUJIRO
53638
KISHIMOTO, HIROSHI
53639
neonate
midgut volvulus
necrosis
viability
second look operation
2014-08
Midgut volvulus is a highly life-threatening condition that carries a high risk of short gut syndrome. We report a case of catastrophic neonatal midgut volvulus in which second-look laparotomy revealed apparently non-viable remnant small intestine but with a moderate blood supply. Full-thickness small intestine necrosis was distributed in a patchy fashion, with non-viable and necrotic areas distributed so widely that no portion of the intestine could be resected. A section of full-thickness necrotic intestine preserved at surgery was able to regenerate, and normal function was restored over a period of 1 month. This case indicated that intestinal resumption may be dependent on blood flow. Even when intestinal viability is questionable, preservation enables the chance of regeneration if moderate blood flow is present.
departmental bulletin paper
Nagoya University School of Medicine
2014-08
Nagoya Journal of Medical Science
3-4
76
375
380
http://hdl.handle.net/2237/20558
2186-3326
0027-7622
eng
http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/7634/7634.html