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Biomedical subjects

G H Welch

Publications and source records attributed to G H Welch.

23 records · Page 2Linked to original sources

The surgery of malrotation and midgut volvulus: a nine year experience in neonates.

Thirty four neonates presented with acute duodenal obstruction due to malrotation during a 9 year period between 1973 and the end of 1981. Of these, 20 patients (58.8%) presented in the first week of life, and 24 (70.5%) had an associated midgut volvulus. This frequent association is stressed as bowel necrosis occurs very rapidly. Massive gangrene of small bowel was present in 5 patients, extensive resection was necessary in 3 patients, of whom 2 died postoperatively (5.8%). Five patients required reoperation and 10 had additional G.I. malformations (29.4%).

Acute Disease↗

Haemobilia due to ruptured intrahepatic aneurysm in a child.

This report describes a major life-threatening haemorrhage in a 10-year-old child, following an intraduct rupture of an intrahepatic aneurysm of the right hepatic artery. The onset of the gastro-intestinal bleed was preceded by trauma which may have contributed to the rupture of the pre-existing aneurysm, although the documented initial injury was apparently slight. The bleeding was successfully controlled after ligation of the right hepatic artery.

Aneurysm↗