Spontaneous perforation of the colon and rectum complicating anorectal malformations in neonates

Raveenthiran, V

doi:10.1016/j.jpedsurg.2011.07.025

Cited by 17 publications

(28 citation statements)

References 15 publications

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“…In 12%-15% of patients with cystic fibrosis, meconium ileus is found. Perforation develops frequently in the mid-ileum, and colonic perforation is rarely seen (3,6). However, none of these conditions was present in our case.…”

Section: Discussionmentioning

confidence: 48%

Neonatal colonic perforation

Saraç

Ataoğlu

Tatar

et al. 2015

UCD

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Neonatal colonic perforation is a rarely seen condition. Plain abdominal radiography of a 28-hour newborn consulted for vomiting and bloody stool revealed the presence of subdiaphragmatic free air, which necessitated surgical exploration. Transverse colonic perforation was detected during the exploration, and subsequently, a colostomy and appendectomy were performed. The postoperative follow-up period was uneventful. Necrotizing enterocolitis, Hirschsprung disease, and mechanical obstruction are some of the causes of colonic perforation during the neonatal period. Herein, we have shared a case of colonic perforation in an asphyctic newborn delivered after prolonged labor.

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Section: Discussionmentioning

confidence: 48%

Neonatal colonic perforation

Saraç

Ataoğlu

Tatar

et al. 2015

UCD

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“…Only a few cases have been reported in the English literature . The estimated incidence for CRP with ARM is 2 per cent; this incidence rises to 9.5 per cent when the diagnosis is delayed . With the exception of Raveenthiran's series, in which there were eight neonates who had CRP with ARM, the present series is the second‐largest series of CRP with ARM.…”

Section: Discussionmentioning

confidence: 61%

“…6, in which perforation occurred, although the baby had associated narrow recto‐urethral fistula. The bowel might also undergo perforation even when the closed loop obstruction has been relieved; this is referred to as ischaemic reperfusion injury theory, as discussed by some authors who emphasize the role of close clinical observation of such cases in the postoperative period . In this series, only one case (no.…”

Section: Discussionmentioning

confidence: 81%

“…This high mortality has improved recently, but could still reach 50 per cent in delayed presenters and premature, hypothermic and septicaemic neonates . Raveenthiran reported an overall mortality (19 per cent) of CRP with ARM. The mortality in the present study was 28.5 per cent, and was mainly related to sepsis and DIC.…”

Section: Discussionmentioning

confidence: 98%

“…All the perforations in this series were on the antimesenteric border of the colon, which supports the vascular theory. The presence of associated recto‐urethral fistula is not a safeguard against perforation, as a tiny fistula could be blocked by inspissated meconium . This was noticed in case no.…”

Section: Discussionmentioning

confidence: 98%

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Anorectal malformations presenting with colorectal perforation: Frequency, associated morbidity and mortality

Eltayeb

2014

Surgical Practice

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Aim Colorectal perforations (CRP) in patients with anorectal malformations (ARM) are infrequently encountered because of their early diagnosis and treatment. Despite recently‐improved neonatal management; CRP during the neonatal period is still a major problem for paediatric surgeons. The aim of the present study was to evaluate the frequency of bowel perforation with ARM in our locality, and the associated morbidity and mortality. Patients and Methods During May 2002 and April 2012, a prospective study was conducted on 416 neonates suffering from ARM (277 high ARM, and 138 low ARM), who presented to Assiut University Children Hospital. The inclusion criteria were all neonates with CRP only related to acute obstruction caused by ARM. Results Only seven cases fulfilled the inclusion criteria. Their age at presentation ranged from 3 days to 14 days. Five neonates had high ARM, while two had low ARM. The diagnosis of bowel perforation was suspected preoperatively in four cases, and was accidentally discovered either intraoperatively in two cases with high ARM or after the anoplasty for low ARM. Two mortalities were encountered; both had a complicated postoperative course with postoperative sepsis and disseminated intravascular coagulation. Conclusions Although rare, colorectal perforation in ARM should always be suspected in delayed ARM presenters. Close postoperative observation is very important to detect any late postoperative perforation.

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Neonatal Management

Peña¹,

Bischoff²

2015

Surgical Treatment of Colorectal Problems in Children

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Spontaneous perforation of the colon and rectum complicating anorectal malformations in neonates

Cited by 17 publications

References 15 publications

Neonatal colonic perforation

Neonatal colonic perforation

Anorectal malformations presenting with colorectal perforation: Frequency, associated morbidity and mortality

Neonatal Management

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