A Case Report of Non-Specific Neonatal Ileus Owing to Congenital Mesenteric Hernia in a Very Low Birth-Weight Infant

DOI Web Site 29 References
  • Ueda Yuka
    Department of Pediatric Surgery, Hiroshima University Hospital
  • Ohtsu Kazuhiro
    Department of Pediatric Surgery, Hiroshima Prefectural Hospital
  • Kurihara Sho
    Department of Pediatric Surgery, Hiroshima Prefectural Hospital
  • Akamine Sho
    Department of Pediatric Surgery, Hiroshima Prefectural Hospital

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Other Title
  • 小腸腸間膜裂孔ヘルニアにより非特異的な新生児イレウスを呈した極低出生体重児の1例
  • 症例報告小腸腸間膜裂孔ヘルニアにより非特異的な新生児イレウスを呈した極低出生体重児の1例
  • ショウレイ ホウコク ショウチョウ チョウ カンマクレツコウ ヘルニア ニ ヨリ ヒトクイテキ ナ シンセイジ イレウス オ テイシタ ゴクテイ シュッショウ タイジュウジ ノ 1レイ

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Abstract

Intestinal mesenteric hernia is a form of internal hernia due to a congenital defect in the mesentery. It is a rare but serious cause of intestinal obstruction. We report a rare case of intestinal mesenteric hernia in a male born at 29 weeks of gestational age with a birth weight of 1,160 g. There were no apparent congenital abnormalities. At birt he had severe abdominal distention without peritoneal signs, and showed generalized intestinal distention on an abdominal X-ray. Since we suspected meconium-related ileus and segmental dilatation of the intestine at first, we performed T-tube drainage. However, as he continued to show symptoms of postoperative ileus, another laparotomy was performed, revealing congenital mesenteric hernia was located at the ileum end. Although congenital mesenteric hernia is rare, it may be fatal unless immediate surgery is performed.

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