Pneumoperitoneum in a Micropremie : Not Always NEC
Joint Authors
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-2, 2 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-04-03
Country of Publication
Egypt
No. of Pages
2
Main Subjects
Abstract EN
Pneumoperitoneum in the newborn is an acute surgical emergency requiring immediate surgical intervention to ensure survival.
It refers to radiological evidence of rupture of an air-containing viscus with resultant soiling of the peritoneal cavity.
A female baby was born preterm at 29 weeks with birth weight of 650 grams.
She developed abdominal distension on day 6, and abdominal radiography revealed presence of free air in the peritoneum.
She proceeded for a laparotomy, and intraoperative findings revealed blood in the peritoneum with an area of inflammation and a small perforation.
About 5 cm of the inflamed bowel was resected, and an end to end anastomosis performed.
The histopathology of the specimen was consistent with Meckel's diverticulum.
Symptomatic Meckel's diverticulum is usually seen in the first two years of life, and perforation is a rare presentation.
Perforated Meckel's diverticulum in a premature newborn is very rare, and a review of literature reveals only one other reported case.
Newborn Meckel's perforation cases often mimic necrotizing enterocolitis, although many present without any feature of peritonitis.
Establishing a preoperative diagnosis of perforated Meckel's is difficult and may not be essential as the treatment remains the same.
However, prompt surgical intervention confers a good prognosis in neonates with isolated perforated Meckel's diverticulum.
American Psychological Association (APA)
Khan, Ahmed& de Waal, Koert A.. 2012. Pneumoperitoneum in a Micropremie : Not Always NEC. Case Reports in Pediatrics،Vol. 2012, no. 2012, pp.1-2.
https://search.emarefa.net/detail/BIM-461252
Modern Language Association (MLA)
Khan, Ahmed& de Waal, Koert A.. Pneumoperitoneum in a Micropremie : Not Always NEC. Case Reports in Pediatrics No. 2012 (2012), pp.1-2.
https://search.emarefa.net/detail/BIM-461252
American Medical Association (AMA)
Khan, Ahmed& de Waal, Koert A.. Pneumoperitoneum in a Micropremie : Not Always NEC. Case Reports in Pediatrics. 2012. Vol. 2012, no. 2012, pp.1-2.
https://search.emarefa.net/detail/BIM-461252
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-461252