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Má rotação intestinal

Última revisão: 10 Nov 2024
Última atualização: 27 Jan 2022

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • vômitos biliosos
  • dor abdominal
Detalhes completos

Outros fatores diagnósticos

  • lactentes com idade <1 ano
  • exame abdominal normal
  • distensão abdominal
  • desconforto abdominal
  • taquicardia com hipertensão
  • taquicardia com hipotensão
  • taquipneia
  • perda de peso
  • sangue escuro na fralda
  • dor à descompressão brusca e rigidez
Detalhes completos

Fatores de risco

  • anormalidades embriológicas
Detalhes completos

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • séries do trato gastrointestinal superior com contraste
  • TC abdominal (com contraste oral e intravenoso [IV])
  • radiografias abdominais simples
  • Hemograma completo
Detalhes completos

Investigações a serem consideradas

  • ultrassonografia
  • radiografia do trato gastrointestinal inferior com contraste
  • gasometria arterial
Detalhes completos

Algoritmo de tratamento

Inicial

obstrução com isquemia

Aguda

obstrução sem isquemia

volvo parcial ou intermitente ou bandas de Ladd obstrutivas

má rotação questionável ou achado assintomático

Colaboradores

Autores

Michael Stanton, MB BS, MD, FRCS (Paed Surg)

Consultant Paediatric Surgeon and Honorary Senior Lecturer

Department of Paediatric Surgery

University Hospital Southampton

Southampton

UK

Declarações

MS acts as an expert witness and writes reports for medico-legal cases on an ad hoc basis.

Agradecimentos

Dr Michael Stanton would like to gratefully acknowledge Dr Stephen Shew, Dr S.D. St Peter, Dr Fizan Abdullah, and Dr Omar Karim, previous contributors to this topic.

Declarações

SS is the author of two references cited in this topic. SDSP is the co-author of one reference cited in this topic. FA and OK declared that they had no competing interests. FA and OK declared that they had no competing interests.

Revisores

Casey M. Calkins, MD

Assistant Professor of Pediatric Surgery

The Medical College of Wisconsin

Children's Hospital and Health System

Milwaukee

WI

Declarações

CC declares that he has no competing interests.

Steve Rothenberg, MD

Chief of Pediatric Surgery

Chairman Department of Pediatrics

The Rocky Mountain Hospital for Children at Presbyterian/St. Luke's

Denver

CO

Declarações

SR declares that he has no competing interests.

KuoJen Tsao, MD

Assistant Professor

Department of Pediatric Surgery

University of Texas Health Science Center at Houston

Houston

TX

Declarações

KT declares that he has no competing interests.

Eric Nicholls, MD

Consultant Paediatric Surgeon

Paediatric Surgery

St George's Hospital

London

UK

Declarações

EN declares that he has no competing interests.

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