Neonatal volvulus and imperforate anus

Bezoars are stony concretions that can form in the gastrointestinal tract. Abdominal radiographs may reveal a distended bowel, few air-fluid levels and, in the right lower abdomen, meconium mixed with air, which has a ground-glass appearance on plain film. The pathogenesis of the disease is failure of migration of the neural crest cells that form the colonic ganglion cells. This work is published and licensed by Dove Medical Press Limited. Renal perfusion is often decreased, leading to renin release and subsequent hypertension. Evolution of the surgical management of bowel atresia in newborn: These findings were consistent with Hirschsprung's disease.
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Pediatric and Neonatal Procedures (Anesthesia Text)

Another rare cause of neonatal intestinal obstruction is the megacystis-microcolon-intestinal hypoperistalsis syndrome. For example, the baby with duodenal atresia is usually identified prenatally because of fetal ultrasound done in a mother with polyhydramnios. Registered Users Take a quiz of the questions on this article. Timely passage of the first stool is a hallmark of the well-being of the newborn infant. Gastrointestinal anomalies, abdominal wall defects.
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Imperforate Anus with Jejunal Atresia Complicated by Intestinal Volvulus: A Case Report

The clinical course in newborns with small left colon syndrome varies in severity from mild symptoms, which may be relieved by the contrast enema, to severe bowel obstruction requiring a temporary transverse colostomy. If interested, please click on "Sign Up" to register. Within 2 weeks he was tolerating full oral feeds, having good ostomy function, and weaned from parenteral nutrition. Low lesions, including those with perineal fistulas, can be corrected electively when the infant's condition is stable. The plain abdominal radiograph often reveals generalized gaseous distention of intestinal loops of small and large bowel filling the entire abdomen, but with no fluid levels. This opening is called a cloaca.
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Patients should be observed for complications of dehydration and vomiting, such as hypochloremic hypokalemic metabolic alkalosis. WikiGenes is a non-profit and open access community project - Read more. With a bulbous, dilated obstructed loop of intestine, there may be abdominal distention. Get immediate access, anytime, anywhere. Blood should be immediately available for transfusion. The oesophagus is the passage which connects the mouth with the stomach. Baby will also have blood samples taken to look at how the obstruction is affecting and the body and to see if there is any indication of infection.
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