Perforated Meckel's diverticulum as a cause of pneumoperitoneum in a VLBW new-born

We report the case of a preterm weighting 755g who showed a massive pneumoperitoneum 14 hours after birth without clinical signs of an Necrotizing enterocolitis (NEC). In surgery, a round hole with everted edges was found in the middle course of the small bowel without surrounding ischemic necrosis...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Ugo Maria Pierucci, Maristella Pellegrino, Maria Costanza Aquilano, Salvatore Argento, Marco Francesco Lanata, Stefano Martinelli, Diego Falchetti, Costantino De Giacomo
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Meckel's diverticulum Intestinal perforation Very low birth weight Neonates Pneumoperitoneum Pediatrics RJ1-570 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/89d88071ec6547ed9cc1c1155e0aa0b6
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:89d88071ec6547ed9cc1c1155e0aa0b6
record_format	dspace
spelling	oai:doaj.org-article:89d88071ec6547ed9cc1c1155e0aa0b62021-11-24T04:30:07ZPerforated Meckel's diverticulum as a cause of pneumoperitoneum in a VLBW new-born2213-576610.1016/j.epsc.2021.102089https://doaj.org/article/89d88071ec6547ed9cc1c1155e0aa0b62021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2213576621003109https://doaj.org/toc/2213-5766We report the case of a preterm weighting 755g who showed a massive pneumoperitoneum 14 hours after birth without clinical signs of an Necrotizing enterocolitis (NEC). In surgery, a round hole with everted edges was found in the middle course of the small bowel without surrounding ischemic necrosis or significant peritonitis. The child was successfully treated with resection and anastomosis, with uneventful short-term postoperative recovery. Both macroscopic and microscopic features were consistent with a perforation of the Meckel remnant. The theoretical etiopathogenesis of this uncommon pathology and the predisposing factors in the preterm population are discussed as well as the treatment. The few cases reported in literature, including the present case, which is the smallest one described to date, encourage consideration of a perforated Meckel's diverticulum as one of the possible causes of free peritoneal air in preterm new-borns, separate from the consequences of an NEC.Ugo Maria PierucciMaristella PellegrinoMaria Costanza AquilanoSalvatore ArgentoMarco Francesco LanataStefano MartinelliDiego FalchettiCostantino De GiacomoElsevierarticleMeckel's diverticulumIntestinal perforationVery low birth weightNeonatesPneumoperitoneumPediatricsRJ1-570SurgeryRD1-811ENJournal of Pediatric Surgery Case Reports, Vol 75, Iss , Pp 102089- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Meckel's diverticulum Intestinal perforation Very low birth weight Neonates Pneumoperitoneum Pediatrics RJ1-570 Surgery RD1-811
spellingShingle	Meckel's diverticulum Intestinal perforation Very low birth weight Neonates Pneumoperitoneum Pediatrics RJ1-570 Surgery RD1-811 Ugo Maria Pierucci Maristella Pellegrino Maria Costanza Aquilano Salvatore Argento Marco Francesco Lanata Stefano Martinelli Diego Falchetti Costantino De Giacomo Perforated Meckel's diverticulum as a cause of pneumoperitoneum in a VLBW new-born
description	We report the case of a preterm weighting 755g who showed a massive pneumoperitoneum 14 hours after birth without clinical signs of an Necrotizing enterocolitis (NEC). In surgery, a round hole with everted edges was found in the middle course of the small bowel without surrounding ischemic necrosis or significant peritonitis. The child was successfully treated with resection and anastomosis, with uneventful short-term postoperative recovery. Both macroscopic and microscopic features were consistent with a perforation of the Meckel remnant. The theoretical etiopathogenesis of this uncommon pathology and the predisposing factors in the preterm population are discussed as well as the treatment. The few cases reported in literature, including the present case, which is the smallest one described to date, encourage consideration of a perforated Meckel's diverticulum as one of the possible causes of free peritoneal air in preterm new-borns, separate from the consequences of an NEC.
format	article
author	Ugo Maria Pierucci Maristella Pellegrino Maria Costanza Aquilano Salvatore Argento Marco Francesco Lanata Stefano Martinelli Diego Falchetti Costantino De Giacomo
author_facet	Ugo Maria Pierucci Maristella Pellegrino Maria Costanza Aquilano Salvatore Argento Marco Francesco Lanata Stefano Martinelli Diego Falchetti Costantino De Giacomo
author_sort	Ugo Maria Pierucci
title	Perforated Meckel's diverticulum as a cause of pneumoperitoneum in a VLBW new-born
title_short	Perforated Meckel's diverticulum as a cause of pneumoperitoneum in a VLBW new-born
title_full	Perforated Meckel's diverticulum as a cause of pneumoperitoneum in a VLBW new-born
title_fullStr	Perforated Meckel's diverticulum as a cause of pneumoperitoneum in a VLBW new-born
title_full_unstemmed	Perforated Meckel's diverticulum as a cause of pneumoperitoneum in a VLBW new-born
title_sort	perforated meckel's diverticulum as a cause of pneumoperitoneum in a vlbw new-born
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/89d88071ec6547ed9cc1c1155e0aa0b6
work_keys_str_mv	AT ugomariapierucci perforatedmeckelsdiverticulumasacauseofpneumoperitoneuminavlbwnewborn AT maristellapellegrino perforatedmeckelsdiverticulumasacauseofpneumoperitoneuminavlbwnewborn AT mariacostanzaaquilano perforatedmeckelsdiverticulumasacauseofpneumoperitoneuminavlbwnewborn AT salvatoreargento perforatedmeckelsdiverticulumasacauseofpneumoperitoneuminavlbwnewborn AT marcofrancescolanata perforatedmeckelsdiverticulumasacauseofpneumoperitoneuminavlbwnewborn AT stefanomartinelli perforatedmeckelsdiverticulumasacauseofpneumoperitoneuminavlbwnewborn AT diegofalchetti perforatedmeckelsdiverticulumasacauseofpneumoperitoneuminavlbwnewborn AT costantinodegiacomo perforatedmeckelsdiverticulumasacauseofpneumoperitoneuminavlbwnewborn
_version_	1718415990061006848

Perforated Meckel's diverticulum as a cause of pneumoperitoneum in a VLBW new-born

Ejemplares similares