Guyot D, Kuo P, Pawlotsky F, Papouin-Rauzy M, Delbreil J-P
Service de réanimation néonatale, centre hospitalier de la Polynésie-Française, BP 1640, 98713 Papeete, Tahiti, Polynésie Française.
Arch Pediatr. 2009 May;16(5):435-8. doi: 10.1016/j.arcped.2009.02.005. Epub 2009 Mar 21.
Intestinal fistula is a rare complication in necrotizing enterocolitis (NEC) and is typically associated with a colonic stricture. We report the case of a preterm infant with severe NEC, who developed an ileocolic fistula followed by the appearance of a colonic stricture after surgical treatment. This report shows how complex the outcome of NEC can be: a contrast enema should be done in NEC when the clinical or biological outcome is not favorable, in order not to delay the diagnosis of intestinal fistula.