A 2 months old girl child presented with history of abdominal distention since 3 days and blood in stools since 1 day. On examination, the child’s abdomen was grossly distended and rigid and the child was also having severe respiratory distress. After initial resuscitation, the child was taken up for surgery.
Intraoperatively, the child was found to have “mid gut volvulus” with gangrene of almost entire small intestine. The guts were derotated and after adequate waiting and hot mopping, only about 20 cm of proximal jejunum, 10 cm of distal ileum and another segment of about 10cm of mid-ileum were found to be viable and rest of the small intestine was frankly gangrenous. All the viable portions were preserved and gangrenous portions resected with multiple end-to-end anastomosis done to establish the continuity of the small intestine.
Presently, the child survives with only 40 cm of small intestine, taking feeds and passing stools regularly with no features of short bowel syndrome yet ( probably due to preserved large intestine).
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