6533b856fe1ef96bd12b31f9

RESEARCH PRODUCT

Internal Hernia Masquerading As Necrotizing Enterocolitis

Ranjit I. Kylat

subject

Internal herniamedicine.medical_specialtyExploratory laparotomymedicine.medical_treatmentCase ReportAutopsyPediatrics030218 nuclear medicine & medical imagingacute abdomen03 medical and health sciences0302 clinical medicine030225 pediatricsSpontaneous Intestinal Perforationmedicineinternal herniasnecrotizing enterocolitisbusiness.industryGeneral surgeryexploratory laparotomylcsh:RJ1-570lcsh:Pediatricsmedicine.diseaseextreme preterm infantSurgeryBowel obstructionAcute abdomenPediatrics Perinatology and Child HealthNecrotizing enterocolitisPresentation (obstetrics)medicine.symptombusiness

description

In extremely preterm infants, acute abdominal emergencies are fortunately less common with improving care. Spontaneous intestinal perforation and necrotizing enterocolitis are conditions where emergency surgery is most often needed. Conservative medical management and placement of temporary drain are often used in the initial management. Internal hernia (IH) is an uncommon cause of bowel obstruction in neonates, is difficult to diagnose and unfortunately are found only at autopsy. The presentation in preterm infants, distinction between these conditions, and the need for early diagnosis of IH are discussed.

10.3389/fped.2017.00225http://journal.frontiersin.org/article/10.3389/fped.2017.00225/full