{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T20:08:02Z","timestamp":1781294882581,"version":"3.54.1"},"reference-count":11,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2019,11,16]],"date-time":"2019-11-16T00:00:00Z","timestamp":1573862400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Neonatal-Perinatal Medicine"],"published-print":{"date-parts":[[2020,9,7]]},"abstract":"<jats:p>Total colonic aganglionosis occurring together with malrotation is a rare occurrence and may pose diagnostic and management dilemmas for the pediatric surgeon. We report the case of a new born, who was operated at the age of three days for malrotation with volvulus, treated by Ladd procedure. Postoperatively, we noticed persistent abdominal distension and emission of a small amount of meconium every 4 to 5 days. The barium enema showed a non-functional microcolon. Surgical exploration on the 24th day found an ileo-ileal transition zone located 60\u200acm distal to the ligament of Treitz. Extemporaneous biopsies from the colon and mid-ileum confirmed the absence of ganglion cells. We performed an ileostomy at 50\u200acm from duodeno-jejunal flexure. Unfortunately, the patient succumbed to nosocomial infection at 33 days of age.<\/jats:p>\n                  <jats:p>This case was a challenging scenario for us where a diagnosis of complicated malrotation had obscured the Hirschsprung\u2019s disease.<\/jats:p>","DOI":"10.3233\/npm-180083","type":"journal-article","created":{"date-parts":[[2019,11,19]],"date-time":"2019-11-19T12:04:12Z","timestamp":1574165052000},"page":"431-433","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Volvulus with intestinal malrotation hiding a near-total intestinal aganglionosis: Case report"],"prefix":"10.1177","volume":"13","author":[{"given":"Y.","family":"Kerkeni","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery \u201cA\u201d, Children Hospital \u201cBechir Hamza\u201d of Tunis, Tunisia Universit\u00e9 de Tunis El Manar, Tunis, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W.","family":"Hannachi","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery \u201cA\u201d, Children Hospital \u201cBechir Hamza\u201d of Tunis, Tunisia Universit\u00e9 de Tunis El Manar, Tunis, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Hamzaoui","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery \u201cA\u201d, Children Hospital \u201cBechir Hamza\u201d of Tunis, Tunisia Universit\u00e9 de Tunis El Manar, Tunis, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,11,16]]},"reference":[{"key":"ref001","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-018-4363-9"},{"key":"ref002","unstructured":"AnwarulK, MasturaA, TasmiahTA, MozammelH, TanvirKC, SharifI, et al. 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