A Case Report of Colonic Strictures Caused by Suspected Neonatal Necrotizing Enterocolitis

DOI 2 Citations 27 References
  • Goto Makoto
    Department of Pediatric Surgery, Hokkaido Children's Hospital and Medical Center
  • Matuno Takasi
    Department of Pediatric Surgery, Hokkaido Children's Hospital and Medical Center
  • Idenoue Satomi
    First Department of Surgery, Sapporo University School of Medicine
  • Maeda Tomomi
    Department of Pediatric Surgery, Hokkaido Children's Hospital and Medical Center
  • Nui Akihiro
    Department of Pediatric Surgery, Hokkaido Children's Hospital and Medical Center
  • Hirama Tosinori
    Department of Pediatric Surgery, Hokkaido Children's Hospital and Medical Center

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  • 新生児壊死性腸炎疑診後に結腸狭窄をきたした1例

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We describe the clinical course of an infant with colonic strictures following suspected neonatal necrotizmg enterocohtis A 1498 g boy at 33 weeks gestation developed vomiting and hematochezia on day 8. His abdomen was softly flat and abdominal radiographs did not demonstrate pneumatosis intestinahs or other abnormal findings Therefore, the diagnosis of neonatal necrotizmg enterocohtis was not confirmed. He recovered with medical management, and enteric feedings were begun six days after the onset On day 22, abdominal distension, vomiting of bilous liquid and apnea were developed A barium enema revealed a colonic stricture at the splenic flexture A transverse colostomy was then performed on day 26 Two months later, the other stricture was demonstrated at the transverse colon near the stoma by barium enema At 8 months of age, resection of the strictures involving the stoma was conducted Colonic stricture is a well known complication after definite or advanced necrotizing enterocohtis. But it is not clear whether or not suspected necrotizing enterocohtis may cause intestinal strictures. We should recognize that even suspected necrotizing enterocohtis may cause intestinal strictures, and careful observation is needed for one to two months after the onset of suspected neonatal necrotizing enterocolitis.

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