[Bloody stool and bilious vomiting - Volvulus in non-rotation].

Area of Science:

• Neonatal Surgery
• Pediatric Gastroenterology
• Diagnostic Imaging

Background:

• Neonatal volvulus due to intestinal malrotation is a critical surgical emergency.
• Delayed diagnosis and treatment significantly increase mortality rates in affected newborns.
• Clinical signs include bilious vomiting, bloody stools, abdominal tenderness, and lethargy.

Purpose of the Study:

• To highlight the importance of early diagnosis of neonatal volvulus.
• To emphasize the role of sonography in identifying this condition.
• To present a case of successful surgical management.

Main Methods:

• Case report of a full-term male newborn.
• Clinical examination and routine U2 assessment.
• Sonographic evaluation for the "whirlpool sign".

Main Results:

• The newborn presented with bilious vomiting and bloody stools on the third day of life.
• Sonography confirmed the diagnosis of volvulus via the characteristic "whirlpool sign".
• Immediate, intestine-preserving surgery was successfully performed.

Conclusions:

• Early sonographic diagnosis using the "whirlpool sign" is crucial for timely intervention in neonatal volvulus.
• Prompt surgical treatment can lead to favorable outcomes, preserving intestinal viability.
• This case underscores the effectiveness of sonography in managing this neonatal surgical emergency.