468449
Descrição
Mapa Mental por v.djabatey, atualizado more than 1 year ago
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Criado por v.djabatey
quase 11 anos atrás
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Malrotation
- presentation
- obstruction
- w/ bilious vomiting
- usual presentation in 1st few days of life
- can also be seen at later ages
- can also be seen at later ages
- child needs urgent upper GI contrast study
- to assess intestinal rotation
- contraind if signs of vascular compromise present
- urgent laparotomy
- urgent laparotomy
- to assess intestinal rotation
- usual presentation in 1st few days of life
- w/ bilious vomiting
- obstruction with a compromised blood supply
- abdominal pain
- tenderness from peritonitis or ischaemic bowel
- obstruction
- during rotation of small bowel in fetal life
- if mesentery not fixed at duodenojejunal
flexure or in ileocaecal region
- base of mesentery is shorter than normal
- base of mesentery is shorter than normal
- if mesentery not fixed at duodenojejunal
flexure or in ileocaecal region
- predisposes to volvulus
- Rx
- surgical correction
- volvulus untwisted
- duodenum mobilised
- bowel placed in non-rotated position w/
duodenojejunal flexure on the right & caecum and
appendix on the left
- bowel placed in non-rotated position w/
duodenojejunal flexure on the right & caecum and
appendix on the left
- duodenum mobilised
- malrotation is not 'corrected'
- but mesentery is broadened
- but mesentery is broadened
- appendix generally removed
- to avoid diag confusion if child subseq has sx suggestive of appendicitis
- to avoid diag confusion if child subseq has sx suggestive of appendicitis
- volvulus untwisted
- surgical correction
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