Open AccessManagement and Outcomes of Malformations Associated with Intestinal Malrotations in Newborns: About 5 Cases
Author(s) -
Monsoïa Gildas Yassegoungbe,
Médard Ayawo Guede,
Géraud Garcia Philemon Satingo Segbedji,
Codjo Serge Metchihoungbé,
Mahussi Henok Orion Akokpe,
Mahunakpon Vihotogbé Léon Samuel Boris Gogan,
Michel Armand Fiogbe,
Antoine Séraphin Gbénou
Publication year - 2021
Publication title -
journal of medical-clinical research and reviews
Language(s) - English
Resource type - Journals
ISSN - 2639-944X
DOI - 10.33425/2639-944x.1210
Subject(s) - omphalocele , medicine , intestinal malrotation , anastomosis , intestinal atresia , perforation , surgery , abnormality , mesentery , atresia , respiratory distress , occlusion , gastroschisis , yolk sac , meckel's diverticulum , bowel resection , invagination , pregnancy , fetus , embryo , genetics , materials science , psychiatry , metallurgy , punching , biology , microbiology and biotechnology
Bowel malrotation is an abnormality in the rotation of the primary intestinal loop during embryonic life. It is a severe abnormality exposing the patient to fatal complications. We report here a series of five patients presenting digestive malrotation with various malformative associations. The first three cases are multiple intestinal atresia on incomplete common mesentery. They underwent an intestinal anastomosis: end-lateral duodeno-ileal for one and end-to-end jejuno-jejunal for the other two with Ladd procedure. In the latter two cases, the omphalocele was the associated malformation; complications such as rupture of the omphalocele with intestinal perforation for one and occlusion by strangulation at the level of the neck for the other were recorded. Ileal resection removing the perforation with end-to-end ileo-ileal anastomosis was performed for the first, while reduction of strangulation at the origin of the occlusion was sufficient for the second. The LADD procedure was the complementary gesture in all cases. The outcome was favorable in 3 cases; two of the newborns who had jejunal atresia died, one on day 5 in a picture of acute respiratory distress, the other on day 6 in a picture of disseminated intravascular coagulation.