The Turkish Journal of Pediatrics (Aug 2015)

A neonate with intestinal volvulus without malrotation exhibiting early jaundice with a suspected fetal onset

  • Kaori Hara,
  • Mari Kinoshita,
  • Takane Kin,
  • Takeshi Arimitsu,
  • Yohei Matsuzaki,
  • Kazushige Ikeda,
  • Hiroshi Tomita,
  • Akihiro Fujino,
  • Tatsuo Kuroda

Journal volume & issue
Vol. 57, no. 4

Abstract

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Intestinal volvulus without malrotation is a rare disease that causes volvulus of the small intestine despite normal intestinal rotation and fixation. We encountered a neonate with this disease who developed early jaundice and was suspected to have a fetal onset. This patient was characterized by early jaundice complicating intestinal volvulus without malrotation and is considered to have exhibited reduced fetal movement and early jaundice as a result of volvulus, necrosis, and hemorrhage of the small intestine in the fetal period. If abdominal distention accompanied by early jaundice is noted in a neonate, intestinal volvulus without malrotation and associated intraabdominal hemorrhage should be suspected and promptly treated.