Agartala, September 28: Doctors at Tripura Medical College and Dr BRAM Teaching Hospital have successfully treated an 18-day-old boy suffering from intestinal malrotation with midgut volvulus, a rare and potentially life-threatening condition in which twisting of the intestine can obstruct blood flow and cause severe complications.
The infant, Ahadul Islam, was born on August 27 at Makunda Hospital in Dharmanagar to Rubina Begum, 25, and Bilal Mia, 31. He was initially discharged after birth, but the family noticed jaundice within a week and sought further medical attention.
While undergoing treatment at Agartala Government Medical College, the baby developed repeated episodes of bilious vomiting, a warning sign of possible intestinal obstruction. Suspecting a surgical emergency, doctors referred him to Tripura Medical College on September 12.
At the hospital’s Special Newborn Care Unit, the case was managed by a team led by paediatric and neonatal surgeon Dr Aniruddha Basak. Diagnostic investigations confirmed intestinal malrotation with midgut volvulus.
The condition occurs when the intestine develops an abnormal position and subsequently twists, potentially cutting off its blood supply. Doctors said the condition requires urgent diagnosis and surgical intervention to prevent serious complications.
An emergency operation was performed on September 14, when Ahadul was just 18 days old. The surgery lasted more than two hours, during which the medical team carefully untwisted the intestine and corrected its abnormal positioning.
The infant’s recovery was complicated by sepsis, requiring intensive monitoring, antibiotics and specialised neonatal care.
The family, facing financial difficulties, left the hospital against medical advice after nine days. They returned for a follow-up examination on September 25, when doctors found that the baby was recovering well.
The medical team said the child was clinically stable and his condition had improved significantly.
Doctors involved in the treatment stressed that green or bile-stained vomiting in a newborn should never be dismissed as a routine feeding problem. It may indicate intestinal obstruction and requires immediate medical evaluation.
They said early recognition of symptoms, timely referral, rapid diagnosis and access to specialised neonatal surgical care were crucial in managing Ahadul’s condition.
The doctors termed the child’s recovery a positive outcome following a critical medical emergency and reiterated the importance of parents seeking prompt medical attention when newborns develop persistent or green-coloured vomiting.
