Publication details

Případ náhlého úmrtí kojence s mesenterium commune

Title in English Sudden death of an infant with mesenterium commune

GRUSOVÁ Kateřina VOTAVA Milan ZEMAN Martin

Year of publication 2014
Type Conference abstract
MU Faculty or unit

Faculty of Medicine

Description Congenital anomalies of the digestive system represent a complicated topic concerning many medical specializations. The goal of this article is to describe a case of an infant (5. 5 months old female) who died shortly after being admitted to hospital with acute bronchitis, vomiting and diarrhoea. The autopsy revealed the cause of death – volvulus of the entire small intestine and the first portion of the large intestine with haemorrhagic infarsation of the intestinal wall in an infant with congenital anomaly of intestinal fixation – mesenterium commune. Congenital malpositions of the intestine originate due to malrotation and malfixation of the intestine during prenatal and early postnatal period. This wide range of the individual’s developmental disorders always result in a condition where the topographical findings in the abdominal cavity are not as commonly found. Abnormally positioned intestines cannot develop a normal mesentery and are prone to volvulus, which represents the most serious complication with acute abdominal symptoms and when diagnosed late, it can lead to sudden death. In the Institute of Forensic Medicine Brno such cases are rarely seen, probably due to the low prevalence of this condition and/or early clinical detection and treatment. However in forensic medicine and also in clinical practice it is important to consider intestinal malposition as a cause of acute abdomen.

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