European J Pediatr Surg Rep. 2015; 03(02): 074-077
DOI: 10.1055/s-0035-1558460
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Thrombolysis for Severe Intestinal Ischemia due to Midgut Volvulus in a Neonate

Nouredin Messaoudi
1  Department of General, Digestive and Pediatric Surgery, Sint-Augustinus Hospital, Wilrijk, Belgium
,
Koen Vanlede
2  Department of Pediatrics, Sint-Augustinus Hospital, Wilrijk, Belgium
,
Dirk Vervloessem
3  Department of Pediatric Surgery, ZNA Queen Paola Children's Hospital, Antwerp, Belgium
,
Marc Huyghe
1  Department of General, Digestive and Pediatric Surgery, Sint-Augustinus Hospital, Wilrijk, Belgium
,
Paul Leyman
1  Department of General, Digestive and Pediatric Surgery, Sint-Augustinus Hospital, Wilrijk, Belgium
› Author Affiliations
Further Information

Publication History

18 March 2015

03 June 2015

Publication Date:
17 August 2015 (online)

Abstract

Intestinal malrotation complicated by the development of midgut volvulus presents a difficult management dilemma because of the risk of short bowel syndrome. Here, we present our experience with a case of severe intestinal ischemia after derotation in a newborn successfully managed using systemic tissue plasminogen activator. The present report supports the usefulness of thrombolysis as a therapeutic option for reperfusion of ischemic small bowel due to midgut volvulus in neonates.