6533b820fe1ef96bd1279126
RESEARCH PRODUCT
Meconial peritonitis in a rare association of partial ileal apple-peel atresia with small abdominal wall defect.
M. PensabeneFortunato SiracusaMarcello CimadorMario GiuffrèGiovanni CorselloMartina BusèVincenzo Insingasubject
MaleMeconiummedicine.medical_specialtyIleuslcsh:SurgeryIntestinal AtresiaBacteremiaPeritonitisAbdominal wallFatal Outcomeapple-peelnewbornIleummedicinemeconial peritonitisHumansmeconium peritonitis neonatebusiness.industryGastroschisisAbdominal wall defectSettore MED/20 - Chirurgia Pediatrica E InfantileIntestinal atresiaAbdominal Wallgastroschisislcsh:RJ1-570Infant NewbornIleal Atresialcsh:Pediatricslcsh:RD1-811medicine.diseaseSurgeryHernia AbdominalAbdominal wall defectmedicine.anatomical_structureIntestinal malrotationIntestinal PerforationAtresiaPediatrics Perinatology and Child HealthUterine PerforationSurgeryFemalebusinessdescription
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.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2014-06-30 | La Pediatria medica e chirurgica : Medical and surgical pediatrics |