2009
DOI: 10.1016/j.jpedsurg.2008.07.009
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Fetal extraperitoneal rectal perforation: a rare neonatal emergency

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Cited by 7 publications
(14 citation statements)
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References 19 publications
(17 reference statements)
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“…A sacrococcygeal teratoma may also be a differential diagnosis in other cases. Contrary to other authors' experience [1,3], our case demonstrates that imaging alone may not be sufficient to distinguish between these possibilities, and therefore, the initial management should be directed at minimizing further complications. In the absence of neurologic features and signs of definite spinal involvement on magnetic resonance imaging, we would anticipate that a defunctioning colostomy will be sufficient to achieve diversion to prevent further complication, followed by a formal posterior sagittal exploration on a later date.…”
Section: Discussioncontrasting
confidence: 99%
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“…A sacrococcygeal teratoma may also be a differential diagnosis in other cases. Contrary to other authors' experience [1,3], our case demonstrates that imaging alone may not be sufficient to distinguish between these possibilities, and therefore, the initial management should be directed at minimizing further complications. In the absence of neurologic features and signs of definite spinal involvement on magnetic resonance imaging, we would anticipate that a defunctioning colostomy will be sufficient to achieve diversion to prevent further complication, followed by a formal posterior sagittal exploration on a later date.…”
Section: Discussioncontrasting
confidence: 99%
“…However, the pathogenesis of this condition remains unclear. The concept of intestinal perforation occurs as a result of distal obstruction is logical; however, like Pitcher et al [1], we could not identify any evidence of distal obstruction, and it seems unlikely that intestinal transit would have generated enough pressure to cause rectal perforation given the duodenal obstruction, even if transient intrauterine rectal/anal obstruction did occur to cause the rectal perforation. Therefore, we are in agreement with Davies et al [2] that the antenatal rectal perforation was more likely a result of a localized ischemic insult after herniation of supralevator rectum through a pelvic floor defect, resembling a Richter's hernia.…”
Section: Discussioncontrasting
confidence: 67%
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