Neonatal colonic perforation

Saraç, Fatma; Ataoğlu, Emel; Tatar, Cihad; Hatipoğlu, Halil Uğur; Abbasoğlu, Latif

doi:10.5152/ucd.2014.2650

Cited by 4 publications

(6 citation statements)

References 13 publications

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“…However, a clear etiological factor cannot be determined in colonic IP, a situation in which there is a focal intestinal perforation (FIP) unrelated to the NEC. Sometimes, it is difficult to distinguish between these two conditions [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Sigmoid colon perforation in a SARS-CoV-2 positive neonate: a uniqueness report and a brief review

et al. 2022

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Background Despite the relative prevalence of small bowel and proximal colon perforation in the neonatal period, recto-sigmoid perforation is extremely rare. Full-term neonates experience intestinal perforation less frequently than premature infants. Here we report a neonate with sigmoid perforation and simultaneous Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) infection. Case presentation A 2550 g female neonate born at 38-weeks’ gestation from a coronavirus disease-2019 (COVID-19) infected mother by cesarean section. Despite a good Apgar score in the first and fifth minutes, she was admitted to the neonatal intensive care unit with grunting and mild respiratory distress. She underwent antibiotics and oxygen by head box resulting in an Oxygen Saturation rate of 94%. The patients’ respiratory distress decreased during the second day, resulting once breastfeeding without tolerance. While she passed meconium in the first 2 days, she developed abdominal distention on day 3. The nasopharyngeal SARS-CoV-2 real-time polymerase chain reaction (RT-PCR) was performed with positive results. Surgical consultation was requested and a thoraco-abdominal X-Ray was performed at this stage, which suspected to be a gastrointestinal perforation. Due to clinical deterioration and persistent abdominal distention, a contrast study was performed with water-soluble contrast, which confirmed intestinal perforation. However, the surgical exploration revealed perforation of the sigmoid colon at the posterior segment. The patient underwent antibiotic therapy, abdominal lavage, and colostomy, immediately. She was discharged in good condition approximately 14-days later. Conclusion To our knowledge, this is the first report of sigmoid colon perforation in a term neonate following COVID-19.

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Section: Discussionmentioning

confidence: 99%

Sigmoid colon perforation in a SARS-CoV-2 positive neonate: a uniqueness report and a brief review

et al. 2022

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“…The overall incidence of gastrointestinal perforation in the NICU is 0.6%. Perforations are more common in the small intestine with transverse colon perforations being exceedingly rare [ 16 , 17 ]. In the preterm population, the most frequent cause of gastrointestinal perforation is NEC [ 18 ].…”

Section: Discussion and Literature Reviewmentioning

confidence: 99%

Case report: necrotizing enterocolitis with a transverse colonic perforation in a 2-day old term neonate and literature review

Hudson

Byrns

Nizalik

et al. 2021

matern health, neonatol and perinatol

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Background Necrotizing enterocolitis (NEC), while classically discussed in preterm and low birth weight neonates, also occurs in the term infant and accounts for 10% of all NEC cases. Despite there being fewer reported cases of NEC in term infants, these presentations demonstrate differences in the onset, severity and risk factors from the classic presentation observed in premature infants. We present a novel case of term NEC that contravenes the reported literature making departures from clinical presentation, risk factors and location of perforation in an otherwise healthy term two-day old infant born after an uncomplicated pregnancy who presented with hematochezia. Case presentation A healthy term baby born after an uneventful pregnancy presented with bloody stool at 2 days of life who was otherwise well. Investigations revealed pneumoperitoneum from a large proximal transverse colonic perforation secondary to NEC. No typical risk factors for NEC were found. Conclusion Given the life-threatening potential of an unrecognized perforation we recommend the inclusion of NEC on the differential for neonatal hematochezia.

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“…L'incidence des perforations digestives inaugurant une maladie de Hirschsprung oscille entre 3,2 et 4,4% selon les auteurs [3]. Sur le plan physiopathologique, ces perforations surviennent sur un segment intestinal distendu par les gaz et la stase stercorale, responsable d'une pullulation microbienne et d'ischémie pariétale fragilisant ainsi la paroi digestive jusqu'à la rupture de cette dernière [4, 5].…”

Section: Discussionunclassified

“…Elles peuvent être à type de perforations intestinales focales idiopathiques ou bien secondaires à une entérocolite ulcèro-nécrosante [1, 2]. Les perforations digestives conduisant au diagnostic d'un mégacôlon congénital (maladie de Hirschsprung) sont exceptionnelles, avec une incidence estimée entre 3,2 à 4,4% selon les auteurs [3]. La perforation cæcale est une complication inhabituelle du mégacôlon congénital [4].…”

Section: Introductionunclassified

Perforation cæcale néonatale inaugurale du diagnostic d’un mégacôlon congénital

Harouna¹,

Idrissa²,

Mahamoudi³

et al. 2018

Pan Afr Med J

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Les perforations intestinales spontanées sont rares chez un nouveau-né à terme. Nous rapportons le cas d'un nouveau-né issu d'une grossesse de 41 semaines d'aménorrhée, qui avait présenté à trois jours de vie, un pneumopéritoine inaugural d'un mégacôlon congénital. L'exploration chirurgicale avait mis en évidence une perforation cæcale diastatique associée à une disparité de calibre recto-sigmoïdienne. La prise en charge avait consisté à la réalisation d'une cæcostomie d'urgence après lavage de la cavité péritonéale. L'examen histologique des fragments biopsiques avait permis de confirmer le diagnostic du mégacôlon congénital. Les suites opératoires étaient simples et la cure radicale avait eu lieu six mois plus tard.

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Neonatal colonic perforation

Cited by 4 publications

References 13 publications

Sigmoid colon perforation in a SARS-CoV-2 positive neonate: a uniqueness report and a brief review

Sigmoid colon perforation in a SARS-CoV-2 positive neonate: a uniqueness report and a brief review

Case report: necrotizing enterocolitis with a transverse colonic perforation in a 2-day old term neonate and literature review

Perforation cæcale néonatale inaugurale du diagnostic d’un mégacôlon congénital

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