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Manufactured volvulus.

Noemi Zweifel1, Martin Meuli, Ulrike Subotic

  • 1Division of Visceral, Neonatal, and Fetal Surgery, Department of Pediatric Surgery, Children's University Hospital, Zurich, Switzerland. Noemi.Zweifel@kispi.uzh.ch

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [Et Al] = Zeitschrift Fur Kinderchirurgie
|November 23, 2012
PubMed
Summary
This summary is machine-generated.

Intensive abdominal massage or pelvic rotation in premature newborns may induce small bowel volvulus. This practice was discontinued after observing this "manufactured" volvulus in three cases.

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Area of Science:

  • Neonatal surgery
  • Pediatric gastroenterology
  • Surgical pathology

Background:

  • Small bowel volvulus typically arises from intestinal malrotation.
  • Reports of volvulus without malrotation are rare, especially in neonates.

Observation:

  • Three very premature newborns (27-31 weeks gestation) presented with small bowel volvulus.
  • All infants had normal intra-abdominal anatomy.
  • Symptoms included abdominal distension, tenderness, erythema, and ileus.

Findings:

  • Patients received interventions like abdominal massage or pelvic rotation prior to symptom onset.
  • These maneuvers are hypothesized to have triggered the volvulus in the absence of congenital abnormalities.

Implications:

  • "Manufactured" volvulus can occur in premature infants due to external manipulation.
  • Discontinuation of specific propulsive maneuvers is recommended in this vulnerable population.