Obstrucción intestinal intermitente secundaria a malrotación en lactante menor

Martha Karina San Juan-Marconi, Eliana Martínez-Romero, Rodrigo De Vivero-Camacho, Nelson Alvis-Muñoz

Resumen


Introducción: el vómito bilioso en el recién nacido requiere atención especial, dado que puede ser un síntoma secundario de patologías potencialmente graves que causan importante morbimortalidad en este grupo etario.

Caso clínico: se presenta el caso de un paciente lactante menor de un mes y once días de edad, quien presentó vómitos biliosos intermitentes desde el nacimiento, con varios ingresos hospitalarios sin mejoría. Cuando ingresó a la urgencia se consideró clínicamente la posibilidad la malrotación intestinal, por ello fue llevado a cirugía. Demostrada la alteración, y se realizó corrección con procedimiento de Ladd. La evolución del paciente fue satisfactoria pese al retraso en el diagnóstico.

Conclusión: el vómito bilioso en neonatos es una emergencia quirúrgica. Requiere la sospecha diagnóstica y realización de estudios dirigidos a establecer el diagnóstico etiológico. Rev.cienc.biomed. 2016;7(2):296-300.

PALABRAS CLAVE

Obstrucción intestinal; Lactante; Vómitos; Mortalidad infantil.

SUMMARY

Introduction: the bilious vomiting in newborns requires special attention because it can be a secondary symptom of potential grave pathologies that cause morbidity and mortality in this age group.

Case report: this article is about an infant patient less than one month and 11 days of age, who presented intermittent bilious vomiting since birth with several hospital admissions for this reason without improvement. Then, intestinal malrotation was consider as a possible diagnosis when the patient was admitted in the hospital. After that, he was taken to surgery and was treated with Ladd procedure. The evolution of the patient was satisfactory despite delay in the diagnosis. It was carried out a literature review.

Conclusion: bilious vomiting in infants is a surgical emergency. It requires diagnostic suspicion and the implementation of more studies to establish the etiological diagnosis. Rev.cienc.biomed. 2016;7(2):296-300.

KEYWORDS

Intestinal obstruction; Infant; Vomiting; Infant mortality.


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