Abstract
An: 2011, Nr.2, Articol Nr. 11
Title: 

INTESTINAL ROTATION ANOMALIES

Authors: 

      V. Ardeleanu, Gica Rumina Chebac, Doina Vesa - “Dunărea de Jos” University of Galaţi, Faculty of Medicine and Pharmacy; Emergency Clinical Hospital “Sf Apostol Andrei” Galaţi
      Costinela Georgescu - “Dunărea de Jos” University of Galaţi, Faculty of Medicine and Pharmacy
      INTESTINAL ROTATION ANOMALIES (Abstract): The intestinal rotation anomalies represent a specific pathology, rarely met, most of the times being discovered intraoperatively. The incidence of these anomalies is higher in children, especially in their first week of life, while others may take the form of different clinical pictures, completely nonspecific, with subocluzive syndromes; one example is the chronic intestinal volvulus, with nonspecific abdominal pain and sometimes with repeated hematochezia, due to some incomplete and reversible volvulations. In order to understand the physiopathology of rotation anomalies, one had to know first the normal embryogenesis, which is why we also presented these minimum concepts. In what rotation anomalies are concerned, the most frequent and feared is represented by the incomplete common mesentery, responsible for the occurrence of the intestinal volvulus in most of the cases. The rest of the anomalies, such as the complete common mesentery, the reversed rotation or the hyper¬ rotation are more rarely met and they usually do not involve serious complications such as volvulation, while the complete absence of the rotation is an exceptional anomaly which occurs in newborns with omphalocele or gastroschizis, associating hiatal hernia. The purpose of this paper is to update knowledge about the embryogenesis of the intestinal tract and about the physiopathology of rotation anomalies, an “update” of the specialized literature.
Key words: INCOMPLETE COMMON MESENTERY, INTESTINAL ROTATION ANOMALIES, INTESTINAL VOLVULUS, REVERSED ROTATION
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