Shukri Nasser, Amara Ridha, Malik Shakeel, Taher Hanan, Kilany Mansour
Department of Pediatric Surgery, Maternity and Children's Hospital, Jeddah, Saudi Arabia.
European J Pediatr Surg Rep. 2013 Jun;1(1):30-1. doi: 10.1055/s-0033-1337110. Epub 2013 Mar 19.
Intestinal perforation is an extremely rare complication of hemangioma of the small intestine in the neonatal period. This is a case report of a 27-days-old male infant who presented with signs and symptoms of acute intestinal obstruction. Exploratory laparotomy findings revealed intestinal perforation due to solitary hemangioma in the ileum, which led to obstruction from peritoneal reaction and adhesions. There are two reported cases in the literature presenting with ileal perforation in the pediatric age group, but only one previous report mentioned in the neonatal period. Because there are other more common causes of perforation in the neonatal period, intestinal hemangioma in spite of its rarity should be included in the differential diagnosis.
肠穿孔是新生儿期小肠血管瘤极其罕见的并发症。本文报告一例27日龄男婴,出现急性肠梗阻的体征和症状。剖腹探查发现回肠孤立性血管瘤导致肠穿孔,进而因腹膜反应和粘连引起梗阻。文献报道了两例小儿年龄组回肠穿孔病例,但新生儿期仅有一例既往报道。由于新生儿期有其他更常见的穿孔原因,尽管肠血管瘤罕见,但在鉴别诊断中应予以考虑。