Dalton Brian G A, Walters Kenneth C, Dassinger Melvin S
Spartanburg Regional Medical Center, 101 E. Wood St. Spartanburg, SC 29302, USA.
Case Rep Surg. 2012;2012:316147. doi: 10.1155/2012/316147. Epub 2012 Aug 27.
Focal intestinal perforation (FIP) has long been described in the pediatric literature. Peritoneal drainage (PD) is widely used as treatment for focal intestinal perforation. Here we report a premature infant that underwent PD on day of life 9 for a FIP. The infant recovered well from this episode and was discharged home without known sequelae. Subsequently, the same patient presented 16 months later with peritonitis. A perforation was discovered at laparotomy without evidence of surrounding necrosis. Given this finding, we believe this second episode of perforation was at the same site as the initial episode of FIP. The finding of FIP has been described without findings of surrounding necrosis. However, we believe this to be the first report of delayed perforation greater than 1 year from initial presentation after FIP treated definitively with peritoneal drain.
局限性肠穿孔（FIP）在儿科文献中早有描述。腹腔引流（PD）被广泛用作局限性肠穿孔的治疗方法。在此，我们报告一名早产婴儿，其在出生后第9天因FIP接受了腹腔引流。该婴儿从这一病程中恢复良好，出院时无已知后遗症。随后，同一患者在16个月后出现腹膜炎。剖腹手术时发现一处穿孔，周围无坏死迹象。基于这一发现，我们认为这第二次穿孔与最初的FIP发作部位相同。FIP的发现已有相关描述，但无周围坏死的发现。然而，我们认为这是首例在经腹腔引流明确治疗FIP后，首次发病1年多后出现延迟穿孔的报告。
