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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Jackson, Paul Patel, Ramnik V. Zani, Augusto De Coppi, Paolo |
| Description | Author Affiliation: Patel RV ( Department of Paediatric Urology, University College London Hospitals NHS Foundation Trust, London, UK Department of Paediatric Urology, Great Ormond Street Children's Hospital NHS Trust, London, UK.); Jackson P ( Department of Paediatric Surgery, GOSH and ICH, London, UK.); Zani A ( Department of Paediatric Surgery, GOSH and ICH, London, UK.); De Coppi P ( Department of Paediatric Surgery, GOSH and ICH, London, UK.) |
| Abstract | An unusual case of miliary plastic peritonitis associated with midgut malrotation in an adolescent in whom various diagnostic investigations, medical management and staged initial laparoscopic diagnostic followed by therapeutic procedure was curative have been presented. Tuberculous miliary plastic peritonitis causes dense adhesions between bowel loops and prevents midgut volvulus in a pre-existing malrotation. Diagnosis can be a challenge and threshold for diagnostic laparoscopy should be low. Interval correction of malrotation by laparoscopy after complete resolution of tuberculosis is easy, safe and effective, and cosmetically more pleasing. Midgut malrotation is a congenital anomaly referring to either lack of or incomplete rotation of fetal axis around the axis of superior mesenteric artery during fetal development. Most patients present with bilious vomiting in the first month of life because of duodenal obstruction or a volvulus. This is an unusual case of midgut malrotation in association with tuberculous peritonitis in an adolescent boy. |
| e-ISSN | 1757790X |
| Journal | BMJ Case Reports |
| Volume Number | 2014 |
| Language | English |
| Publisher | BMJ Publishing Group Ltd. |
| Publisher Place | Great Britain (UK) |
| Access Restriction | Open |
| Subject Keyword | Intestinal Volvulus Congenital Intestines Abnormalities Laparoscopy Peritoneum Pathology Peritonitis, Tuberculous Therapy Adolescent Digestive System Abnormalities Duodenal Obstruction Etiology Complications Diagnosis Vomiting Multidisciplinary |
| Content Type | Text |
| Resource Type | Article |
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