At birth, newborn babies tend to respond to any stressful event with elective blood shunting towards the main organ systems, such as the brain and heart. Consequently, the bowel may suffer from a severe flow reduction with a high risk of hypoperfusion. The distal ileum is relatively less vascularized than other parts of intestine, due to a lack of collateral arteriolar circulation. It is therefore at higher risk of hypoxia, tissue necrosis and perforation in situations of minimal hypoperfusion or spasm. A rare case of covered perforation of the last loop of the ileum in a severely preterm baby is reported. The perforation manifested atypically as inflammatory stenosis of the loop and the ileo-cecal valve. To avoid misdiagnoses and to manage these cases correctly, the caregiver has to consider this rare eventuality in the differential diagnosis of intestinal occlusion/subocclusion in the first days of life. Copyright (C) 2003 S. Karger AG, Basel.

Messina, M., Ferrucci, E.D., Garzi, A., Meucci, D., Buonocore, G. (2003). A rare case of neonatal ileo-cecal valve stenosis due to covered iliac perforation. BIOLOGY OF THE NEONATE, 83(1), 69-72 [10.1159/000067016].

A rare case of neonatal ileo-cecal valve stenosis due to covered iliac perforation

Buonocore, Giuseppe
2003-01-01

Abstract

At birth, newborn babies tend to respond to any stressful event with elective blood shunting towards the main organ systems, such as the brain and heart. Consequently, the bowel may suffer from a severe flow reduction with a high risk of hypoperfusion. The distal ileum is relatively less vascularized than other parts of intestine, due to a lack of collateral arteriolar circulation. It is therefore at higher risk of hypoxia, tissue necrosis and perforation in situations of minimal hypoperfusion or spasm. A rare case of covered perforation of the last loop of the ileum in a severely preterm baby is reported. The perforation manifested atypically as inflammatory stenosis of the loop and the ileo-cecal valve. To avoid misdiagnoses and to manage these cases correctly, the caregiver has to consider this rare eventuality in the differential diagnosis of intestinal occlusion/subocclusion in the first days of life. Copyright (C) 2003 S. Karger AG, Basel.
2003
Messina, M., Ferrucci, E.D., Garzi, A., Meucci, D., Buonocore, G. (2003). A rare case of neonatal ileo-cecal valve stenosis due to covered iliac perforation. BIOLOGY OF THE NEONATE, 83(1), 69-72 [10.1159/000067016].
File in questo prodotto:
File Dimensione Formato  
ileocecal valve- 2003.pdf

non disponibili

Tipologia: Altro materiale allegato
Licenza: NON PUBBLICO - Accesso privato/ristretto
Dimensione 4.37 MB
Formato Adobe PDF
4.37 MB Adobe PDF   Visualizza/Apri   Richiedi una copia

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11365/29512
 Attenzione

Attenzione! I dati visualizzati non sono stati sottoposti a validazione da parte dell'ateneo