Primary segmental volvulus mimicking ileal atresia

Area of Science:

• Pediatric Surgery
• Neonatal Gastroenterology
• Abdominal Wall Defects

Background:

• Neonatal intestinal volvulus typically occurs with malrotation or other predisposing factors.
• Primary segmental volvulus in neonates, lacking these associations, is exceptionally rare.

Observation:

• Two neonates presented with symptoms suggestive of ileal atresia.
• Intraoperative findings revealed primary segmental volvulus of the ileum in both cases.

Findings:

• The study highlights two instances of primary segmental ileal volvulus in neonates.
• These cases were initially misdiagnosed as ileal atresia preoperatively.

Implications:

• Accurate and timely diagnosis of neonatal intestinal volvulus is critical.
• Prompt surgical intervention can prevent catastrophic outcomes in these rare conditions.