International Journal of Clinical Pediatrics, ISSN 1927-1255 print, 1927-1263 online, Open Access
Article copyright, the authors; Journal compilation copyright, Int J Clin Pediatr and Elmer Press Inc
Journal website http://www.theijcp.org

Case Report

Volume 1, Number 1, February 2012, pages 34-37


A Child With Malrotation and Severe Metabolic Alkalosis

Figure

Figure 1.
Figure 1. A-C: Upper gastrointestinal series: the third portion demonstrates dilation with an abrupt oblique indentation caused by compressive effects of the peritoneal bands.

Tables

Table 1. Serial Blood Gas Analysis of Patient With Malrotation and Severe Metabolic Alkalosis
 
1234567
pH8.067.907.607.517.437.527.40
PCO2 mmHg26.835.434.933.442.425.332.4
HCO3 mmol/L74.168.733.526.928.520.320.1
BE ecf mmol/L56.949.511.7-1.6-3.6
BE mmol/L56.848.412.85.34.40.7-3.2
BB mmol/L104.896.460.852.353.248.744.2

 

Table 2. Relationship Between the Arterial pH and H+ Concentration in the Physiologic Range [9]
 
pH(H+), nmol/LpH(H+), nmol/L
7.80167.00100
7.70206.90125
7.60266.80160
7.5032
7.4040
7.3050
7.2063
7.1080