极低出生体重儿自发性肠穿孔的早期表现：一例报告

An Early Presentation of Spontaneous Intestinal Perforation in a Very Low Birth Weight Neonate: A Case Report.

作者信息

Harsha Neelam, Mendu Suresh Babu, Santhosh Avinash, Kotha Rakesh, Alimelu Madireddy

机构信息

Department of Neonatology, Niloufer Hospital, Hyderabad, IND.

Department of Pediatrics, Government Medical College, Siddipet, IND.

出版信息

Cureus. 2023 Jul 22;15(7):e42285. doi: 10.7759/cureus.42285. eCollection 2023 Jul.

DOI:10.7759/cureus.42285

PMID:37609093

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10440627/

Abstract

Pneumoperitoneum is typically caused by breached hollow viscera and necessitates surgical intervention. This may have various etiologies, including spontaneous, necrotizing enterocolitis (NEC), and obstruction. In these cases, spontaneous intestinal perforation (SIP) is a unique clinical entity with a better outcome than newborns with NEC-related intestinal perforation. Here, we present a rare case of SIP manifested in the form of pneumoperitoneum in the first eight hours of life, emphasizing the importance of differentiation between NEC and SIP, as each condition has variable treatment options and outcome considerations.

摘要

气腹通常由中空脏器破裂引起，需要手术干预。其病因可能多种多样，包括自发性、坏死性小肠结肠炎（NEC）和梗阻。在这些病例中，自发性肠穿孔（SIP）是一种独特的临床实体，其预后比患有NEC相关肠穿孔的新生儿更好。在此，我们报告一例罕见的SIP病例，该病例在出生后八小时内以气腹的形式表现出来，强调了区分NEC和SIP的重要性，因为每种情况都有不同的治疗选择和预后考量。