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Acquired Ileal Atresia in a Preterm Infant
Article em En | WPRIM | ID: wpr-141527
Biblioteca responsável: WPRO
ABSTRACT
Acquired ileal atresia is a rare but life-threatening complication that can occur after recovery from necrotizing enterocolitis in premature infants. We present an unusual case of acquired ileal atresia in the distal ileum injured by ischemia after intestinal perforation in an extremely low-birth-weight infant. A 900 g (25 weeks gestation) premature infant developed a pneumoperitoneum without the radiologic manifestations of necrotizing enterocolitis on day 9 of life. Primary peritoneal drainage without further need for surgery was performed in the neonatal intensive care facility. Gastrointestinal gastrografin studies confirmed normal intestinal continuity and regular stools. Several weeks later, while the patient was receiving all nutrition orally with no medical problems, the patient's condition suddenly deteriorated, along with clinical signs of intestinal obstruction including emesis of bilious contents and stools. Laparotomy (on day 45 of life) revealed ileal atresia with V-shaped gap mesenteric defect.
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Texto completo: 1 Índice: WPRIM Assunto principal: Pneumoperitônio / Vômito / Recém-Nascido de Baixo Peso / Recém-Nascido Prematuro / Diatrizoato de Meglumina / Terapia Intensiva Neonatal / Drenagem / Enterocolite Necrosante / Íleo / Obstrução Intestinal Limite: Humans / Newborn Idioma: En Revista: Journal of the Korean Society of Neonatology Ano de publicação: 2012 Tipo de documento: Article
Texto completo: 1 Índice: WPRIM Assunto principal: Pneumoperitônio / Vômito / Recém-Nascido de Baixo Peso / Recém-Nascido Prematuro / Diatrizoato de Meglumina / Terapia Intensiva Neonatal / Drenagem / Enterocolite Necrosante / Íleo / Obstrução Intestinal Limite: Humans / Newborn Idioma: En Revista: Journal of the Korean Society of Neonatology Ano de publicação: 2012 Tipo de documento: Article