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Neonatal volvulus and imperforate anus








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1. J Pediatr Surg. Oct;18(5) Sigmoid volvulus in a neonate with imperforate anus. Janik JS, Humphrey R, Nagaraj HS. PMID:

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Failure to pass meconium or to have spontaneous bowel motions, bilious or nonbilious vomiting, and increasing abdominal distension are the most common presenting symptoms.6, 8, 9, 10 In 1 reported case, the baby had an imperforate anus. 6 In our case, the baby was noticed to have anal stenosis. Plain x-rays, although occasionally dramatic, are.

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SURGICAL EMERGENCIES IN THE NEWBORN TRACY L. MCTIERNAN, MA, CPNP DIVISION OF PEDIATRIC SURGERY NYU LANGONE MEDICAL CENTER Imperforate Anus Incidence Average incidence.. - PowerPoint PPT presentation.

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If none of the above signs on x-ray, move to barium swallow study to assess for malrotation/volvulus: If there is a strong index of suspicion for malrotation/ volvulus, barium swallow study should be chosen as first imaging modality. Volvulus will appear with corkscrew pattern on study.

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At that time, the differential diagnosis entertained the following pathological entities: jejunal atresia, ileal atresia, colonic atresia, meconium ileus, intestinal volvulus, imperforate anus, Hirschsprung disease (aganglionic megacolon), and meconium peritonitis.


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Sigmoid volvulus (SV) is an extremely rare cause of bowel obstruction in the newborn period. We report a neonatal case of SV misdiagnosed as small bowel volvulus. At laparotomy, the classical findings of SV were observed without gangrene. The operative procedure consisted of simple detorsion without sigmoidopexy. Imperforate Anus Is a term used to describe a wide range of congenital anomalies involving the anus, rectum, & GI system *Results from the failure of anorectal development in weeks 7 & 8 of gestational life.

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+91 98 Plot A, 15, Moti Nagar Rd, Block 14, Moti Nagar, New Delhi, Delhi Imperforate anus Minor abnormalities of the anus or rectum occur in about 1 birth in every but major abnormalities are around 1 in 5, Associated abnormalities of the small intestine, oesophagus, genitourinary system, cardiovascular system and sacral area may also occur.

Obstruction of the bowel at birth is a relatively common abnormality and has a large number of possible causes, most of which are rare individually (Table ).The common forms of obstruction in the neonatal period are Hirschsprung disease and necrotizing enterocolitis.

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Description:Perianal fistula is a common disorder that often recurs because of infection that was missed at surgery. Preoperative MR can help to prevent recurrence. In this review we will address the anatomy, pathogenesis, classification and scanning protocol of perianal fistulas. The anatomical anal canal. •Intestinal stenosis/web (atresia if newborn) •Large bowel obstruction (Hirschsprung's disease, imperforate anus, colonic atresia, meconium ileus) •Intussusception •Necrotizing enterocolitis or neonatal sepsis •Gastroenteritis •Reflux/overfeeding. An imperforate anus is a birth defect that happens while your baby is still growing in the womb. This defect means that your baby has an improperly developed anus, and therefore can't pass stool.
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