Meconial peritonitis in a rare association of partial ileal apple-peel atresia with small abdominal wall defect.
Pediatr Med Chir
; 36(3): 8, 2014 Jun 30.
Article
em En
| MEDLINE
| ID: mdl-25573643
ABSTRACT
Intestinal atresia type III B (apple peel) and gastroschisis are both congenital malformations who require early surgical correction in neonatal age. Their association is very rare. We present the case of a full term infant with partial apple peel ileal atresia and a small defect of the anterior abdominal wall, complicated by in utero intestinal perforation and subsequent meconial peritonitis. We observed a partial atresia of small intestine, with involvement of terminal ileus savings of jejunum and a large part of the proximal ileum, small anterior abdominal wall defect with herniation of few bowel loops, intestinal malrotation. Paralytic ileus and infections are the main causes of morbidity and mortality at neonatal age. In our case, in spite of the mild phenotype, prognosis has been complicated by the onset of functional bowel obstruction, caused by chemical peritonitis resulting from contact with either amniotic fluid and meconium.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Peritonite
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Parede Abdominal
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Íleo
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Atresia Intestinal
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Mecônio
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Female
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Humans
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Male
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Newborn
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article