Enterocolitis is a serious complication of Hirschsprung's disease. The high-risk onset periods are before diagnosis of Hirschsprung's disease and after pull-through operation, but it can occur in every moment during the clinical history of the affection. Enterocolitis is characterized by the presence of fever, abdominal distension and explosive diarrhea. It is a lifethreatening disease which treatment is based on electrolytes and water restoration, antibiotic support, total parenteral nutrition and intestinal surgical decompression obtained by colostomy. However the best treatment is an early diagnosis that is based on the suspect of the disease from the symptoms. The Authors report on 2 babies (respectively lO and 5 months old) with an acute abdomen that were urgently submitted to surgery which confirmed the clinical diagnosis of enterocolitis. The first baby was affected by Down's syndrome and persistent constipation since birth, the second one had an history of constipation, short growth and a previous hospitalization for gastroenteritis. Both babies were submitted to surgical decompression by colostomy before the following operations for the correction of the main affection (Soave-Boyle pull-through) and for the recanalization.
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|Titolo:||Enterocolite da malattia di Hirschsprung: due case report|
|Citazione:||Messina, M., Cerigioni, E., Meucci, D., Abate, V., & Amato, G. (2003). Enterocolite da malattia di Hirschsprung: due case report. ATTI DELL'ACCADEMIA DEI FISIOCRITICI IN SIENA, 15(22), 7-15.|
|Appare nelle tipologie:||1.1 Articolo in rivista|