Mid-gut volvulus with bowel gangrene

Another milestone by BLK- MAX Centre for Child Health

1 month term baby came to our hospital from Sonipat with fever, abdominal distention and bilious vomiting. We were suspecting intestinal obstruction. Child was shifted to PICU with sepsis and shock and needed ventilation with inotropic support. Child was taken for urgent laparotomy. Intraop found to have mid gut volvulus with bowel gangrene and 150 cm of gut removed. Only 25 cm of gut remained and poor prognosis was explained to the parents in view of extremely short bowel length
Child was stabilized In the post op period and gradually weaned from ventilator as the sepsis was controlled.
Then started a long phase of nutritional rehabilitation which was expected to continue for next few months
The journeys were fraught with many obstacles like recurrent infections (due to bacterial translocation from gut and prolonged nutritional support with TPN) and a prolonged phase of oral feeds establishment over 6months all while ensuring normal developmental milestones. This was also our youngest baby to have been inserted with a pediatric size PICC line.

It was a journey well travelled and in the end it was happy faces of gratitude and reward as we discharge the kid after 6 m of PICU stay . Baby was happy in his own PICU corner, enjoyed his stay and finally he is going to see the outside world after a long time

Word of appreciation for multidisciplinary work done by BLK- MAX centre for child health involving Pediatric Surgery Team (Dr Prashant Jain, Dr Ashish Prasad & Dr Raghav Narang) , PICU Team (Dr Rachna Sharma, Dr Naresh, Dr Vibin) and Paed Gastroenterologist (Dr Ravi Bharadwaj) and our excellent nursing team

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