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[Intestinal volvulus in extremely premature infants].
K Billiemaz1, F Varlet, H Patural
1Service de réanimation pédiatrique et néonatologie, hôpital Nord, 42055 Saint-Etienne, France.
Summary
Volvulus is rare in extremely premature newborns. Early diagnosis using specific symptoms and X-ray findings, alongside avoiding abdominal wall massages, can prevent surgical intervention.
Area of Science:
- Neonatal surgery
- Pediatric gastroenterology
- Intestinal motility disorders
Context:
- Volvulus is an uncommon yet serious condition in extremely premature infants.
- Distinguishing volvulus from necrotizing enterocolitis is critical for appropriate management.
Purpose:
- To report on the clinical presentation and diagnostic findings of intestinal volvulus in premature newborns.
- To identify potential risk factors and preventive measures for neonatal volvulus.
Summary:
- Seven premature newborns presented with abdominal distention, tense skin, and characteristic spiraled bowel loops on X-ray, indicative of volvulus.
- Early diagnosis facilitated by specific clinical and radiological signs allowed for non-surgical management, avoiding intestinal resection.
- Abdominal wall massages were identified as a potential risk factor, with their interdiction correlating to a cessation of new cases.
Impact:
- Highlights the importance of recognizing specific clinical and radiological signs for early diagnosis of neonatal volvulus.
- Suggests that modifying nursing practices, specifically avoiding abdominal wall massages, may reduce the incidence of volvulus in premature infants.
- Provides evidence for conservative management strategies in select cases of neonatal volvulus, potentially improving outcomes and reducing surgical morbidity.