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Volvulus without malposition--a single-center experience
Simon Kargl1, Oliver Wagner2, Wolfgang Pumberger1
1Department of Pediatric Surgery, Women's and Children's Hospital Linz, Linz, Austria.
The Journal of Surgical Research
|October 1, 2014
Summary
Volvulus without malposition and/or malrotation (VWM) is a distinct prematurity disease. Early diagnosis and treatment are crucial, with outcomes varying based on meconium obstruction of prematurity (MOP) presence.
Area of Science:
- Neonatal surgery
- Pediatric gastroenterology
- Surgical pathology
Background:
- Volvulus without malposition and/or malrotation (VWM) is a rare condition in preterm infants.
- Diagnostic challenges exist in differentiating VWM from other forms of volvulus.
- This case series aims to establish VWM as a distinct clinical entity.
Purpose of the Study:
- To describe the clinical characteristics of VWM in preterm infants.
- To identify factors influencing treatment outcomes in VWM.
- To highlight diagnostic difficulties associated with VWM.
Main Methods:
- A single-center case series was conducted.
- Medical charts of infants diagnosed with VWM between 2003 and 2012 were reviewed.
- 15 preterm infants with VWM were identified and analyzed.
Main Results:
- All 15 patients underwent emergency laparotomy for VWM without malposition.
- Two groups emerged: 4 patients with meconium obstruction of prematurity (MOP) and 11 without MOP.
- Patients without MOP required small bowel resection and temporary enterostomy; 2 deaths occurred in this group.
Conclusions:
- VWM is a unique disease entity in preterm neonates.
- VWM associated with MOP has a favorable prognosis.
- VWM without MOP necessitates surgical intervention, with potential for significant morbidity.
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