Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Resch, B; Mayr, J; Kuttnig-Haim, M; Reiterer, F; Ritschl, E; Müller, W.
Spontaneous gastrointestinal perforation in very-low-birth-weight infants--a rare complication in a neonatal intensive care unit.
Pediatr Surg Int. 1998; 13(2-3):165-167
Doi: 10.1007/s003830050277
(- Case Report)
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
- Resch Bernhard
- Co-Autor*innen der Med Uni Graz
- Haim Michaela
- Müller Wilhelm
- Reiterer Friedrich
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- Abstract:
- Over a 6-year period (1989-1995), gastrointestinal (GI) perforation was diagnosed in nine preterm infants (mean gestational age 27 weeks, mean birth weight 872 g). Three presented with necrotizing enterocolitis (NEC), two with indwelling-tube-induced perforation of the stomach, one with small-left-colon syndrome, and another with meconium ileus. Spontaneous intestinal perforation occurred in two similar very-low-birth-weight (VLBW) infants, in the distal ileum, on days 8 and 9 of life, respectively. The only clinical sign was extensive abdominal distension, and abdominal X-ray studies revealed free peritoneal air. All findings were distinct from those associated with NEC. Their further clinical course was complicated by reperforation on day 32 and 39, respectively. They subsequently recovered and presented without GI problems at the corrected ages of 4 and 2 months, respectively. In contrast to high mortality of 57% in the group with non-spontaneous intestinal perforations, spontaneous perforation seems to have a good prognosis even in VLBW infants if diagnosed and treated promptly.
- Find related publications in this database (using NLM MeSH Indexing)
- Female -
- Humans -
- Infant, Newborn -
- Infant, Premature -
- Infant, Premature, Diseases -
- Infant, Very Low Birth Weight -
- Intensive Care Units, Neonatal -
- Intestinal Perforation -
- Stomach - injuries
- Find related publications in this database (Keywords)
- spontaneous gastrointestinal perforation
- very-low-birthweight infants