Necrotizing enterocolitis as a side effect of octreotide in a preterm neonate, a case report

Congenital chylous ascites (CCA) is a rare disease, characterized by accumulation of chyle in the peritoneal cavity in infants <3 months. Respiratory distress and abdominal distension at birth are common presentations of CCA. Treatment of CCA includes abdominal paracentesis, medium-chain triglyce...

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Autores principales: Nasim Rabiee, Ava Navidi Moghaddam, Naeeme Taslimi Taleghani, Shahrzad Tabatabaee, Farzaneh Palizban, Minoo Fallahi
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Publicado: Elsevier 2022
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Acceso en línea:https://doaj.org/article/3fff297ed9ef451182704ec390bc9372
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spelling oai:doaj.org-article:3fff297ed9ef451182704ec390bc93722021-12-02T05:01:33ZNecrotizing enterocolitis as a side effect of octreotide in a preterm neonate, a case report2213-576610.1016/j.epsc.2021.102136https://doaj.org/article/3fff297ed9ef451182704ec390bc93722022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2213576621003572https://doaj.org/toc/2213-5766Congenital chylous ascites (CCA) is a rare disease, characterized by accumulation of chyle in the peritoneal cavity in infants <3 months. Respiratory distress and abdominal distension at birth are common presentations of CCA. Treatment of CCA includes abdominal paracentesis, medium-chain triglyceride (MCT) formula, total parenteral nutrition (TPN), and administration of octreotide. Surgical treatment is considered in case of conservative treatment failure. Octreotide administration leads to a reduction in the flow of chyle and predisposes high-risk infants to necrotizing enterocolitis (NEC). We present a case of CCA in a preterm neonate that developed necrotizing NEC, 2 days after initiation of intravenous octreotide. Despite the immediate cessation of octreotide and surgical and supportive treatment, the infant was expired so we suspect that octreotide was a risk factor for the development of NEC in our patient and this report aims to warn this association and suggest that if octreotide is used in treatment, the patient must be under close monitoring for any signs of NEC.Nasim RabieeAva Navidi MoghaddamNaeeme Taslimi TaleghaniShahrzad TabatabaeeFarzaneh PalizbanMinoo FallahiElsevierarticleCongenital chylous ascitesOctreotideNecrotizing enterocolitisPediatricsRJ1-570SurgeryRD1-811ENJournal of Pediatric Surgery Case Reports, Vol 76, Iss , Pp 102136- (2022)
institution DOAJ
collection DOAJ
language EN
topic Congenital chylous ascites
Octreotide
Necrotizing enterocolitis
Pediatrics
RJ1-570
Surgery
RD1-811
spellingShingle Congenital chylous ascites
Octreotide
Necrotizing enterocolitis
Pediatrics
RJ1-570
Surgery
RD1-811
Nasim Rabiee
Ava Navidi Moghaddam
Naeeme Taslimi Taleghani
Shahrzad Tabatabaee
Farzaneh Palizban
Minoo Fallahi
Necrotizing enterocolitis as a side effect of octreotide in a preterm neonate, a case report
description Congenital chylous ascites (CCA) is a rare disease, characterized by accumulation of chyle in the peritoneal cavity in infants <3 months. Respiratory distress and abdominal distension at birth are common presentations of CCA. Treatment of CCA includes abdominal paracentesis, medium-chain triglyceride (MCT) formula, total parenteral nutrition (TPN), and administration of octreotide. Surgical treatment is considered in case of conservative treatment failure. Octreotide administration leads to a reduction in the flow of chyle and predisposes high-risk infants to necrotizing enterocolitis (NEC). We present a case of CCA in a preterm neonate that developed necrotizing NEC, 2 days after initiation of intravenous octreotide. Despite the immediate cessation of octreotide and surgical and supportive treatment, the infant was expired so we suspect that octreotide was a risk factor for the development of NEC in our patient and this report aims to warn this association and suggest that if octreotide is used in treatment, the patient must be under close monitoring for any signs of NEC.
format article
author Nasim Rabiee
Ava Navidi Moghaddam
Naeeme Taslimi Taleghani
Shahrzad Tabatabaee
Farzaneh Palizban
Minoo Fallahi
author_facet Nasim Rabiee
Ava Navidi Moghaddam
Naeeme Taslimi Taleghani
Shahrzad Tabatabaee
Farzaneh Palizban
Minoo Fallahi
author_sort Nasim Rabiee
title Necrotizing enterocolitis as a side effect of octreotide in a preterm neonate, a case report
title_short Necrotizing enterocolitis as a side effect of octreotide in a preterm neonate, a case report
title_full Necrotizing enterocolitis as a side effect of octreotide in a preterm neonate, a case report
title_fullStr Necrotizing enterocolitis as a side effect of octreotide in a preterm neonate, a case report
title_full_unstemmed Necrotizing enterocolitis as a side effect of octreotide in a preterm neonate, a case report
title_sort necrotizing enterocolitis as a side effect of octreotide in a preterm neonate, a case report
publisher Elsevier
publishDate 2022
url https://doaj.org/article/3fff297ed9ef451182704ec390bc9372
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AT shahrzadtabatabaee necrotizingenterocolitisasasideeffectofoctreotideinapretermneonateacasereport
AT farzanehpalizban necrotizingenterocolitisasasideeffectofoctreotideinapretermneonateacasereport
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