Colon stenosis due to acute neonatal appendicitis in a preterm baby: a case report
| Autor: | Misao Yoshii, Hiromu Teramen, Takuto Naito, Koichi Ohno, Toshihide Shimada, Hiroaki Hayashi, Mai Takegawa, Haruko Sakamoto |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Neonatal intensive care unit Colon Exploratory laparotomy medicine.medical_treatment Case Report Constriction Pathologic Colonic Diseases 03 medical and health sciences 0302 clinical medicine Preterm 030225 pediatrics Laparotomy medicine Humans Ascending colon Neonatal appendicitis Colon stenosis 030212 general & internal medicine business.industry Infant Newborn lcsh:RJ1-570 lcsh:Pediatrics Appendicitis medicine.disease digestive system diseases Appendix Surgery Stenosis medicine.anatomical_structure Acute Disease Pediatrics Perinatology and Child Health Vomiting medicine.symptom business Infant Premature |
| Zdroj: | BMC Pediatrics, Vol 19, Iss 1, Pp 1-5 (2019) BMC Pediatrics |
| ISSN: | 1471-2431 |
| DOI: | 10.1186/s12887-019-1873-0 |
| Popis: | Background Colon stenosis and acute appendicitis are rare diseases among premature babies. To the best of our knowledge, no study has identified both the conditions in preterm babies. Case presentation Here we report a case of a preterm Japanese male baby who developed ascending colon stenosis and appendicitis. During his neonatal intensive care unit stay, he developed increasing apnea and vomiting with rapidly worsening abdominal distention. Contrast radiographs indicated colon stenosis. Emergent exploratory laparotomy revealed ascending colon stenosis with appendix adhesion; both the lesions were surgically resected. The pathological findings suggested that he had appendicitis several weeks prior to the surgery; the onset of colon lesion seemed later than that of appendix. The perforated appendix was covered by the ascending colon, and inflammatory reactions led to the narrowing of the intestinal lumen. Conclusions Neonatal appendicitis and colon stenosis are both challenging for the diagnosis, and early laparotomy is necessary when these conditions are suspected. |
| Databáze: | OpenAIRE |
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