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Intestinal malrotation in Trinidad.
Anatol, T I.
Afiliación
  • Anatol TI; Department of Surgery, Faculty of Medical Sciences, University of the West Indies, Mount Hope, Trinidad.
J R Coll Surg Edinb ; 37(3): 172-4, 1992 Jun.
Article en En | MEDLINE | ID: mdl-1404041
Fifty-one children under the age of 10 years admitted to a general hospital in Trinidad had a confirmed diagnosis of malrotation of the intestines. This was the primary diagnosis in 20 cases. Analysis of the records of these 20 revealed that one-half were less than 1 month of age at first presentation. Vomiting was a universal complaint, and nearly two-thirds were malnourished. Disturbed bowel habit, anorexia and abdominal pain were also reported. In 30% (six of 20) there were signs of dehydration; an equal number had features of intestinal obstruction. Radiological investigation provided the diagnosis in all but one child, who underwent surgical exploration with a provisional diagnosis of appendicitis. Although a volvulus was found in 35% of cases, no resections were necessary. A high rate of morbidity and a mortality rate of 15% highlight the problems involved in the surgical care of young infants.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Obstrucción Intestinal / Intestinos Tipo de estudio: Etiology_studies Límite: Child / Child, preschool / Female / Humans / Infant / Male / Newborn País/Región como asunto: Caribe ingles / Trinidad y tobago Idioma: En Revista: J R Coll Surg Edinb Año: 1992 Tipo del documento: Article Pais de publicación: Reino Unido
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Obstrucción Intestinal / Intestinos Tipo de estudio: Etiology_studies Límite: Child / Child, preschool / Female / Humans / Infant / Male / Newborn País/Región como asunto: Caribe ingles / Trinidad y tobago Idioma: En Revista: J R Coll Surg Edinb Año: 1992 Tipo del documento: Article Pais de publicación: Reino Unido