Elbw patients 55% of the total neonatal intestinal perforations were also studied. Esta puede ubicarse a cualquier nivel del intestino, incluyendo las malformaciones esofagicas y anorrectales ano. Abstract necrotizing enterocolitis nec and isolated intestinal perforation ip are common diseases in very low birth weight infants vlbw and require surgery in 2040% of cases. Spontaneous intestinal perforation in a very low birth. Perforacion gastrointestinal en recien nacidos binasss. Victor cabo rodriguez, i ruperto llanes cespedes, ii luis alexis graveran sanchez, iii pedro abelardo vilorio barreras iv. Neonatal intestinal perforation caused by congenital defects of the intestinal musculature. Spontaneous localized intestinal perforation in verylowbirthweight infants.
Es secundaria a una obstruccion intestinal o a enterocolitis necrotizante. Perforacion gastrointestinal enfermedad intestinal. Spontaneous intestinal perforation sip is a rare pathology in the neonatal period. Neonatal gastrointestinal perforation is a common condition carrying a mortality of 1760%. There are only very few studies done in world regarding pattern of. Gastric perforation in the neonatal period is a rare surgical emergency, it is associated with high morbidity and mortality. Birth weight was 70 grams and apgar scores were 9 at one minute and 10 at five minutes. The etiology of spontaneous gastric perforation of the newborn. Enfermedad gastrointestinal causada por una perforacion. The intestinal pneumatosis is a clinical entity that is described as the presence of gas within the intestinal wall and portomesenteric venous complex as an air cysts without surrounded or no epithelial lining by a granulomatous infiltrate with giant cells multinucleic. He was admitted to the neonatal intensive care unit for respiratory distress syndrome requiring continuous positive airway pressure cpap support. Neonatal intestinal obstruction is the most common surgical emergency in a newborn requiring prompt intervention. Enterocolitis necrotizante y perforaciones intestinales en.
Recurrent neonatal gastrointestinal problems after spontaneous intestinal perforation. Sip is the second most common cause of neonatal intestinal perforation 8 and has been very well documented in the lowbirthweight neonates 9, 10. Esto puede ocasionar una ruptura en las paredes intestinales. Spontaneous intestinal perforation in a very low birth weight. Memorias xi congreso nacional medicas uis 2017 urgencias. The etiology of gastrointestinal perforations in the newborn. Apr 01, 2015 the terminal ileum is mostly affected site however sip is also reported in the transverse and descending colons 7. Recurrent neonatal gastro intestinal problems after spontaneous intestinal perforation. To describe the clinical evolution of 2 newborns with spontaneous gastrointestinal perforations, in order to discuss clinical manifestations, diagnosis and medicalsurgical treatment. The baby was born at 27 weeks gestation to a 31yearold mother by normal vaginal delivery. The terminal ileum is mostly affected site however sip is also reported in the transverse and descending colons 7.
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