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Supraventricular tachycardia as a presenting feature of volvulus in a 15‐month‐old boy
Author(s) -
Jacombs Anita SW,
Cross Kate M,
Holland Andrew JA,
Wilkins Barry H
Publication year - 2009
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1111/j.1440-1754.2009.01519.x
Subject(s) - medicine , supraventricular tachycardia , shock (circulatory) , laparotomy , tachycardia , volvulus , vomiting , resuscitation , abdomen , abdominal pain , anesthesia , splanchnic , cardiology , surgery , hemodynamics
A 15‐month‐old boy presented in shock with a supraventricular tachycardia following a 12‐h history of worsening abdominal pain and vomiting. The supraventricular tachycardia reverted to sinus tachycardia with fluid resuscitation and adenosine. He was noted to have a distended and firm abdomen. A presumptive diagnosis of intestinal ischaemia was subsequently confirmed at laparotomy when an internal hernia with a distal small bowel volvulus and necrosis was found. Intestinal ischaemia presenting with a life‐threatening cardiac dysrhythmia in a child appears not to have been reported previously.