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Causes and treatment of volvulus in infants

Volvulus in infants that developed on the background of congenital abnormalities, currently considered the most common reason for surgical intervention at this age.


Causes of volvulus in infants

The cause of volvulus in infants can be malformations of the intestinal tube of the child, while still in the womb, starting from the third week of pregnancy, which corresponds to the time of formation of the primary gut, but not later than the fifth week, when the formation of the intestine has been completed.

Cause of pathology can be and malformations of other organs that may constrict the intestine, namely the violation of fixation of the middle intestine, leading to bloat. Also to the development of obstruction causes a blockage of the lumen of the intestine the original Kal – meconium, which for unclear reasons could have a high density.

One of the main manifestations of the disease – sudden pain in the abdomen, which becomes the cause of the crying baby, Moody, anxiety. The child there is constipation, low blood pressure, impaired flatus, a baby's stomach is asymmetrical, bowel motility is reduced. Among the first symptoms can be vomiting.

The disease makes itself felt usually after birth, usually within the first hours of life. A complete intestinal obstruction may be accompanied by the discharge of meconium, but the normal chair is not marked, from the anus usually leaves only the slime. The passage of stool in small quantities with a pronounced trend to decrease in the volume of feces says about incomplete intestinal obstruction.

Under x-ray examination of the small bowel loops were distended and filled with fluid, the distal not contain air. When volvulus of the colon the sigmoid the it Department is expanding dramatically.

Treatment of volvulus in infants

Treatment infants volvulus, the cause of which is the anomaly of fetal development, is always carried out only by surgery. The life of a child in this case threatens a ruptured colon as a result of strong stretching her, as well as violation of blood circulation of the intestinal wall, the development of inflammatory process in the abdominal cavity, the violation of water-salt balance.

The operation is performed in the surgical Department, but the preparation for it should start at a nursing home.Newborn cancel food through the mouth and the stomach cleanse using a probe.