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Supraventricular tachycardia as a presenting feature of volvulus in a 15-month-old boy
Anita S W Jacombs1, Kate M Cross, Andrew J A Holland
1Department of Academic Surgery and Helen McMillan Paediatric Intensive Care Unit, The Children's Hospital at Westmead, Australia.
Abstract:
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.
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