Çok Düşük Doğum Ağırlıklı Bir Prematürede Mekonyum Tıkacına Bağlı Kendiliğinden İntestinal Perforasyon

Year 2009, Volume: 9 Issue: 3, 135 - 137, 01.07.2009

Dilek Dilli Şerife S Oğuz , Hülya Özkan Ulu Uğur Dilmen

Abstract

Kendiliğinden intestinal perforasyon, çoğunlukla çok düşük doğum ağırlıklı yenidoğanlarda görülen son zaman- larda tanımlanmış bir klinik tablodur. Prenatal ve perina- tal risk faktörleri arasında sayılan maternal hipertansiyo- nun perinatal intestinal hipoperfüzyona yol açarak dismo- tilite ve staza yol açtığı düşünülmektedir. Bu makalede maternal hipertansiyon öyküsü olan ve mekonyum tıkacına bağlı kendiliğinden perforasyon gelişen çok düşük doğum ağırlıklı bir yenidoğan vakası literatürler ışığında sunul- du

Keywords

Yenidoğan, intestinal perforasyon, maternal hipertansiyon

Spontaneous Intestinal Perforation Due to the Meconium Obstruction in a Very Low Birth Premature Infant

Abstract

Spontaneous intestinal perforation is a recently defined entity, which is mostly seen in very low birth weight infants. It has been suggested that prenatal and perinatal risk fac- tors may include any etiology causing perinatal intestinal hypoperfusion due to maternal hypertension as well as factors associated with dysmotility and stasis. We report a case of spontaneous intestinal perforation due to the meco- nium obstruction in a very low birth weight premature infant with a history of maternal hypertension with litera- ture highlight

Keywords

Newborn, intestinal perforation, maternal hypertension

References

• 1. Attridge JT, Herman AC, Gurka MJ, Griffin MP, McGahren ED, Gordon PV. Discharge outcomes of extremely low birth weight infants with spontaneous intestinal perforations. J Perinatol 2006; 26:49-54.
• 2. Vinograd I, Mogle P, Peleg O, Alpan G, Lernau OZ. Meconium disease in premature infants with very low birth weight. J Pediatr 1983; 103:963-6.
• 3. Garza-Cox S, Keeney SE, Angel CA, Thompson LL, Swischuk LE. Pediatrics 2004; 114:285-90.
• 4. Kuremu RT, Hadley GP, Wiersma R. Gastro-intestinal tract perforation in neonates. East Afr Med J 2003; 80:452-5.
• 5. Mintz AC, Applebaum H. Focal gastrointestinal perforations not associated with necrotizing enterocolitis in very low birth weight neonates. J Pediatr Surg 1993; 28:857-60.
• 6. Lamireau T, Millon A, Sarlangue J, et al. Transient intestinal pseudo-obstruction syndrome in premature infants. Arch Fr Pediatr 1993; 50:301-6.
• 7. Aschner JL, Deluga KS, Metlay LA, Emmens RW, Hendricks-Munoz KD. Spontaneous focal gastrointestinal perforation in very low birth weight infants. J Pediatr 1988; 113:364-7.
• 8. Ibe BC, Ugbam GM. Spontaneous gastric perforation in preterm low birthweight infants. Possible traumatic aetiology. A report of two cases. Cent Afr J Med 1994; 40:161-3.
• 9. Chaudry G, Navarro OM, Levine DS, Oudjhane K. Abdominal manifestations of cystic fibrosis in children. Pediatr Radiol 2006; 36:233-40.
• 10. Belknap WM. Hirschsprung’s disease. Curr Treat Options Gastroenterol 2003; 6:247-56.