Meconial peritonitis in a rare association of partial ileal apple-peel atresia with small abdominal wall defect

Marcello Cimador, Fortunato Siracusa, Mario Giuffre, Giovanni Corsello, Marco Pensabene, Martina Buse', Vincenzo Insinga

Risultato della ricerca: Articlepeer review

1 Citazioni (Scopus)

Abstract

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.
Lingua originaleItalian
pagine (da-a)8-
Numero di pagine4
RivistaPediatria Medica e Chirurgica
Volume36
Stato di pubblicazionePublished - 2014

All Science Journal Classification (ASJC) codes

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  • ???subjectarea.asjc.2700.2746???

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