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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2022
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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) |
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Congenital chylous ascites Octreotide Necrotizing enterocolitis Pediatrics RJ1-570 Surgery RD1-811 |
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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 |
work_keys_str_mv |
AT nasimrabiee necrotizingenterocolitisasasideeffectofoctreotideinapretermneonateacasereport AT avanavidimoghaddam necrotizingenterocolitisasasideeffectofoctreotideinapretermneonateacasereport AT naeemetaslimitaleghani necrotizingenterocolitisasasideeffectofoctreotideinapretermneonateacasereport AT shahrzadtabatabaee necrotizingenterocolitisasasideeffectofoctreotideinapretermneonateacasereport AT farzanehpalizban necrotizingenterocolitisasasideeffectofoctreotideinapretermneonateacasereport AT minoofallahi necrotizingenterocolitisasasideeffectofoctreotideinapretermneonateacasereport |
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1718400763223343104 |