Intestinal Perforation during the Stabilization Period in a Preterm Infant with Congenital Diaphragmatic Hernia
Abstract Background Delayed surgery after stabilization of infants with congenital diaphragmatic hernia (CDH) is an accepted strategy. However, the evidence favoring delayed versus immediate surgical repair is limited. We present an extremely rare case of a very low-birth-weight infant...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Georg Thieme Verlag KG
2017-01-01
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| Series: | European Journal of Pediatric Surgery Reports |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0037-1606288 |
| _version_ | 1818258825797435392 |
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| author | Zbyněk Straňák Karel Pýcha Simona Feyereislova Jaroslav Feyereisl Michal Rygl |
| author_facet | Zbyněk Straňák Karel Pýcha Simona Feyereislova Jaroslav Feyereisl Michal Rygl |
| author_sort | Zbyněk Straňák |
| collection | DOAJ |
| description | Abstract
Background Delayed surgery after stabilization of infants with congenital diaphragmatic hernia (CDH) is an accepted strategy. However, the evidence favoring delayed versus immediate surgical repair is limited. We present an extremely rare case of a very low-birth-weight infant with prenatally diagnosed left-sided CDH and unexpected transmural bowel perforations developing within the postnatal stabilization period.
Case Report A neonate born at 31st week of gestation with a birth weight of 1,470 g with antenatally diagnosed left-sided CDH presented with bowel dilation leading to transmural bowel perforations on the 2nd day of life. Meconium pleuroperitonitis resulted in severe systemic inflammatory response syndrome, pulmonary hypertension, multiple organ failure, and death.
Conclusion In neonates with CDH deteriorating under standard postnatal management, intestinal perforation, and early surgical intervention should be considered. |
| first_indexed | 2024-12-12T18:05:42Z |
| format | Article |
| id | doaj.art-ffcc729e8a9645ffbe0b4d6097db2138 |
| institution | Directory Open Access Journal |
| issn | 2194-7619 2194-7627 |
| language | English |
| last_indexed | 2024-12-12T18:05:42Z |
| publishDate | 2017-01-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | European Journal of Pediatric Surgery Reports |
| spelling | doaj.art-ffcc729e8a9645ffbe0b4d6097db21382022-12-22T00:16:30ZengGeorg Thieme Verlag KGEuropean Journal of Pediatric Surgery Reports2194-76192194-76272017-01-010501e51e5410.1055/s-0037-1606288Intestinal Perforation during the Stabilization Period in a Preterm Infant with Congenital Diaphragmatic HerniaZbyněk Straňák0Karel Pýcha1Simona Feyereislova2Jaroslav Feyereisl3Michal Rygl4Third Faculty of Medicine, Charles University, Prague, Czech RepublicDepartment of Pediatric Surgery, Second Faculty of Medicine, Charles University, Prague, Czech RepublicThird Faculty of Medicine, Charles University, Prague, Czech RepublicFetal Medicine Centre, Institute for the Care of Mother and Child, Prague, Czech RepublicDepartment of Pediatric Surgery, Second Faculty of Medicine, Charles University, Prague, Czech RepublicAbstract Background Delayed surgery after stabilization of infants with congenital diaphragmatic hernia (CDH) is an accepted strategy. However, the evidence favoring delayed versus immediate surgical repair is limited. We present an extremely rare case of a very low-birth-weight infant with prenatally diagnosed left-sided CDH and unexpected transmural bowel perforations developing within the postnatal stabilization period. Case Report A neonate born at 31st week of gestation with a birth weight of 1,470 g with antenatally diagnosed left-sided CDH presented with bowel dilation leading to transmural bowel perforations on the 2nd day of life. Meconium pleuroperitonitis resulted in severe systemic inflammatory response syndrome, pulmonary hypertension, multiple organ failure, and death. Conclusion In neonates with CDH deteriorating under standard postnatal management, intestinal perforation, and early surgical intervention should be considered.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0037-1606288congenital diaphragmatic herniadelayed surgerybowel perforation |
| spellingShingle | Zbyněk Straňák Karel Pýcha Simona Feyereislova Jaroslav Feyereisl Michal Rygl Intestinal Perforation during the Stabilization Period in a Preterm Infant with Congenital Diaphragmatic Hernia European Journal of Pediatric Surgery Reports congenital diaphragmatic hernia delayed surgery bowel perforation |
| title | Intestinal Perforation during the Stabilization Period in a Preterm Infant with Congenital Diaphragmatic Hernia |
| title_full | Intestinal Perforation during the Stabilization Period in a Preterm Infant with Congenital Diaphragmatic Hernia |
| title_fullStr | Intestinal Perforation during the Stabilization Period in a Preterm Infant with Congenital Diaphragmatic Hernia |
| title_full_unstemmed | Intestinal Perforation during the Stabilization Period in a Preterm Infant with Congenital Diaphragmatic Hernia |
| title_short | Intestinal Perforation during the Stabilization Period in a Preterm Infant with Congenital Diaphragmatic Hernia |
| title_sort | intestinal perforation during the stabilization period in a preterm infant with congenital diaphragmatic hernia |
| topic | congenital diaphragmatic hernia delayed surgery bowel perforation |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0037-1606288 |
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