Clinical analysis of 10 neonates with primary segmental volvulus
10.3760/cma.j.issn.2096-2932.2024.02.003
- VernacularTitle:新生儿原发性局部小肠扭转10例临床分析
- Author:
Yanxia ZHANG
1
;
Lishuang MA
;
Ying WANG
;
Yandong WEI
;
Tao WU
;
Jingna LI
Author Information
1. 首都儿科研究所附属儿童医院新生儿外科，北京 100020
- Keywords:
Neonate;
Primary;
Segmental;
Intestinal volvulus
- From:Chinese Journal of Neonatology
2024;39(2):75-79
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the clinical features of primary segmental volvulus (PSV) in neonates.Methods:A retrospective analysis was conducted on the clinical data of neonates with PSV who were admitted to the Department of Neonatal Surgery, Children's Hospital Affiliated to Capital Institute of Pediatrics from May 2014 to May 2023. The clinical manifestations, auxiliary examinations, treatment and prognosis of the neonates were summarized, and descriptive statistical analysis was performed on the collected data.Results:A total of 10 neonates with PSV were included, with a mean gestational age of (34.1±3.0) weeks and birth weight of (2 291±646) g. Eight cases had an onset age of 3 d or less, and 2 cases had an onset age of more than 3 d. Abdominal distension was observed as the main manifestation in all cases, while bilious vomiting occurred in seven cases and hematochezia in five cases. Imaging examinations mainly revealed low intestinal obstruction without specific manifestations. Laboratory tests showed metabolic acidosis and varing degrees of anaemia. Nine cases underwent diagnostic abdominal puncture, of which five had bloody ascites, two had clear ascites, one had bloody mixed with fecal-like ascites, and one had chylous ascites. All the cases underwent emergency exploratory laparotomy and segmental small bowel resections with either primary intestinal anastomosis or enterostomy. All cases were successfully cured and had been followed up to the age of 4 months to 9 years with good growth and development as normal children of the same age.Conclusions:Neonatal PSV is an independent abdominal emergency characterized by non-specific clinical manifestations and difficult preoperative diagnosis, but the overall prognosis is favorable after active surgical treatment.
