Midgut agenesia (clinical and forensic medical aspects): a rare case report
- Authors: Maltsev A.E.1, Razin M.P.2, Skobelev V.A.2, Schukhina A.Y.2
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Affiliations:
- Kirov Regional Bureau of Forensic Medicine
- Federal State Budgetary Educational Institution of Higher Education «Kirov State Medical University» of the Ministry of Healthcare of the Russian Federation
- Issue: Vol 6, No 4 (2020)
- Pages: 54-58
- Section: Case reports
- URL: https://journal-vniispk.ru/2411-8729/article/view/122429
- DOI: https://doi.org/10.19048/fm331
- ID: 122429
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Abstract
Background: Congenital obstruction of the gastrointestinal tract in the form of complete atresia occurs in newborns in 60% of all cases of obstruction of the digestive tract, while agenesis of the derivative of the midgut is a rather rare defect.
Case presentation: After birth, the child in this case was repeatedly operated on for congenital intestinal obstruction. Most of the jejunum, ileum, cecum, ascending, right half of the transverse colon were absent in the child, and an anastomosis was performed between the jejunum and transversum. In the postoperative period, it was not possible to cope with the intestinal and protein -energy deficiency and the child exerted at home. The section has confirmed clinical diagnoses.
Conclusion: The authors draw attention to the possibility of resorption of the extraperitoneally located intestine at the end of the first period of intrauterine rotation with a possible vascular and/or ischemic disaster.
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##article.viewOnOriginalSite##About the authors
Alexey E. Maltsev
Kirov Regional Bureau of Forensic Medicine
Email: al.maltsev@mail.ru
ORCID iD: 0000-0001-7756-6959
SPIN-code: 4371-2000
Dr. Sci. (Med.), Prof., Head of the KRBFM "Kirov Regional Bureau of Forensic Medicine"
Russian Federation, KirovMaxim P. Razin
Federal State Budgetary Educational Institution of Higher Education «Kirov State Medical University» of the Ministry of Healthcare of the Russian Federation
Email: mprazin@yandex.ru
ORCID iD: 0000-0003-3561-3256
SPIN-code: 6868-2750
Dr. Sci. (Med.), Prof.
Russian Federation, KirovValentin A. Skobelev
Federal State Budgetary Educational Institution of Higher Education «Kirov State Medical University» of the Ministry of Healthcare of the Russian Federation
Author for correspondence.
Email: kf12@kirovgma.ru
ORCID iD: 0000-0002-9272-9055
SPIN-code: 5489-7583
PhD
Russian Federation, KirovAnna Y. Schukhina
Federal State Budgetary Educational Institution of Higher Education «Kirov State Medical University» of the Ministry of Healthcare of the Russian Federation
Email: annacool23@mail.ru
ORCID iD: 0000-0002-2009-9998
SPIN-code: 6931-0274
Postgraduate student of the Department of Pediatric Surgery
Russian Federation, KirovReferences
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