Thrombolysis for Severe Intestinal Ischemia due to Midgut Volvulus in a Neonate

Intestinal malrotation complicated by the development of midgut volvulus presents a difficult management dilemma because of the risk of short bowel syndrome. Here, we present our experience with a case of severe intestinal ischemia after derotation in a newborn successfully managed using systemic ti...

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Detalles Bibliográficos
Autores principales: Messaoudi, Nouredin, Vanlede, Koen, Vervloessem, Dirk, Huyghe, Marc, Leyman, Paul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2015
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4712059/
https://www.ncbi.nlm.nih.gov/pubmed/26788452
http://dx.doi.org/10.1055/s-0035-1558460
Descripción
Sumario:Intestinal malrotation complicated by the development of midgut volvulus presents a difficult management dilemma because of the risk of short bowel syndrome. Here, we present our experience with a case of severe intestinal ischemia after derotation in a newborn successfully managed using systemic tissue plasminogen activator. The present report supports the usefulness of thrombolysis as a therapeutic option for reperfusion of ischemic small bowel due to midgut volvulus in neonates.

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