RESUMO
Most mandibular second molars are usually found to have either one or two roots. However, mandibular second molars can also present with variations in the number of roots as well as differences in the morphology of their root canals. An 18-year-old male presented to the Department of Graduate Endodontics clinic with a morphologically variable mandibular second molar with three roots-two mesial and one distal. Two periapical radiographs were taken at different angles, revealing that there were three different canals in separate roots, each with independent portals of exit. This is a rare anatomical configuration. The success of endodontic treatment depends on accurate diagnosis, careful examination, identification of additional roots and canals, as well as detection of variations in root canal morphology. Failing to recognize these variations may lead to failures of root canal treatments and thus unsuccessful endodontic treatment.
RESUMO
BACKGROUND: Acute kidney injury (AKI) is a common complication in sick, extremely low birth weight (ELBW) neonates. Peritoneal dialysis (PD) is the treatment modality but is seldom attempted in this patient population. We present a 40-day-old ELBW neonate previously operated for necrotizing enterocolitis with ileostomy who developed AKI. Peritoneal dialysis was started by a modifying intercostal drain. RESULTS: Doing a simple procedure and using a few modifications helped the baby to come out of acute kidney injury. CONCLUSION: Peritoneal dialysis can be technically quite challenging in ELBW neonates but is possible with certain innovative modifications. KEY MESSAGE: Challenging technical problems in potentially fatal conditions sometimes respond to simple innovation. Initiation of early peritoneal dialysis in a sick ELBW with ileostomy and AKI helped saved her life. HOW TO CITE THIS ARTICLE: Kaul A, Jadhav K, Shah S. Peritoneal Dialysis in an Extremely Low Birth Weight Neonate with Ileostomy. Indian J Crit Care Med 2019;23(5):232-233.
