MALFORMATIONS OF INTESTINE IN PREMATURE INFANTS UNDER THE MASK OF NECROTIZING ENTEROCOLITIS
https://doi.org/10.15690/vsp.v14i2.1303
Abstract
Some congenital malformations of the gastrointestinal tract in premature infants are difficult to diagnose due to a lack of specific clinical picture. As a rule, they are masked under necrotizing enterocolitis resulting in the improper management of such patients. The article describes two clinical cases of Hirschsprung's disease and neuronal intestinal dysplasia in newborns. Both cases were regarded as necrotizing enterocolitis of newborns resulting in tactical treatment errors. We made a conclusion that the surgical tactics for patients with congenital disorders of both the enteric nervous system and muscular intestinal wall tissue, which manifest themselves as enterocolitis or perforation, should be determined only when you are fully confident in the functional usefulness of all parts of the intestine.
About the Authors
Yu. I. KucherovRussian Federation
Yu. V. Zhirkova
Russian Federation
T. N. Shishkina
Russian Federation
M. G. Rekhviashvili
Russian Federation
References
1. Holschneider A.M., Puri P. Hirschsprung’s disease. Paediatric surgery. New York: Springer. 2006. P. 275–288.
2. Puri P., Hollwarth М.E. Pediatric surgery. Berlin: Springer-Verlag. 2009. P. 291–292.
3. Ashcraft K.U., Holder T.M. Detskaya khirurgiya [Pediatric Surgery]. Hartford, 1997. P. 9–43.
4. Dan'shin T.I., Dmitrieva M.B, Maksakova I.S., Yanchuk D.A. Necrotizing enterocolitis: a modern approach to the problem. Neonatologіya, khіrurgіya ta perinatal'na meditsina = Neonatology, surgery and perinatal medicine. 2013; 4 (10): 46–54.
5. Podkalesov V.V., Protopopova N.V., Podkalesov A.V. Hemodynamic mechanisms of pathogenesis of necrotizing enterocolitis in newborn infants. Voprosy diagnostiki v pediatrii = Diagnostics in pediatrics. 2009; 1 (6): 53–58.
6. Langer J.C. Hirschsprung disease. Curr. Opin. Pediatr. 2013; 25: 68–74.
7. Grosfeld J.L., Molinari F., Chaet M., Engum S.A., West K.W., Rescorla F.J. et al. Gastrointestinal perforation and peritonitis in infants and children: experience with 179 cases over ten years. Surgery. 1996; 120 (4): 650–656.
8. Tan C.E.L., Keily E.M., Agrawal M., Brevton R.I., Spitz L. Neonatal gastrointestinal perforation. J. Pediatr. Surg. 1989; 24: 888–892.
9. St-Vil D., LeBouthillier G., Luks F., Bensoussan A.L., Blanchard H., Youssef S. Neonatal gastrointestinal perforations. J. Pediatr. Surg. 1992; 27: 1340–1342.
10. Komuro H., Urita Y., Hori T., Hirai M., Kudou S., Gotoh C. et al. Perforation of the colon in neonates. J. Pediatr. Surg. 2005; 40: 1916–1919.
11. Talishinskiy T., Tomita S. Intestinal perforation in preterm infant as an unusual initial presentation of Hirshsprung’s disease. J. Ped. Surg. Case Reports. 2013; 1: 381–382.
12. Martson A. Sosudistye zabolevaniya kishechnika [Vascular Diseases of Intestine]. Moscow, Meditsina, 1989. P. 291–305.
13. Isakov Yu.F., Stepanov E.A., Krasovskaya T.V. Abdominal'naya khirurgiya u detei [Abdominal Surgery in Children]. Moscow, Meditsina, 1988. 415 p.
14. Ivanov V.V, Chevzhik V.P., Cherpalyuk E.A. Operational tactics in the treatment of enterocolitis in newborn infants. Detskaya khirurgiya = Pediatric surgery. 2003; 6: 25–27.
15. Meier-Ruge W. Epidemiology of congenital innervation defects of the distal colon. Virchows Arch. A Pathol. Anat. 1992; 420 (2): 171–177.
16. Schаrli A.F. Neuronal intestinal dysplasia. Pediatr. Surg. Int. 1992; 7: 2–7.
17. Fadda B., Maier W.A., Meier-Ruge W. et al. Neuronale Intestinale Dysplasie: Eine kritische Zehnjahresanalyse klinischer und bioptischer Befunde. Z. Kindechir. 1983; 38: 305–311.
18. Meier-Ruge W., Brnnimann R.B., Gambazzi F., Schmid P.C., Schmidt C.P., Stoss F. Histopathological criteria for intestinal neuronal dysplasia of the submucosal plexus (type B). Virchows Arch. A Pathol. Anat. 1992; 426: 549–556.
19. Schаrli A.F. Standardization of terminology of intestinal Innervations disorders. Pediatr. Surg. Int. Year. 1995; 104: 40.
Review
For citations:
Kucherov Yu.I., Zhirkova Yu.V., Shishkina T.N., Rekhviashvili M.G. MALFORMATIONS OF INTESTINE IN PREMATURE INFANTS UNDER THE MASK OF NECROTIZING ENTEROCOLITIS. Current Pediatrics. 2015;14(2):300-304. (In Russ.) https://doi.org/10.15690/vsp.v14i2.1303