Recurrent intestinal ischemia following surgery for gastric and duodenal perforations: a case report

Surgical Case Reports
Takahiro KoraiChikako Nakata

Abstract

Extremely low birth weight (ELBW) is a risk factor for various gastrointestinal complications. In the recent decades, advances in medicine have increased the survival of ELBW infants with necrotizing enterocolitis (NEC). To our knowledge, there have been no reports of neonates or infants developing simultaneous gastric and duodenal perforations and later developing NEC. We report a case of an extremely low birth weight infant (ELBWI) who developed both gastric and duodenal perforations at the same time and developed NEC after operation for gastric and duodenal perforations. The patient was a female infant with ELBW who developed both gastric and duodenal perforations at the same time and developed NEC after operation for gastric and duodenal perforations. After birth, endotracheal intubation was performed. However, barotrauma occurred during positive pressure ventilation, resulting in a large area of emphysema in the left lower lung field, leading to collapse of the left lung. This giant bulla may have compressed the pulmonary vein, possibly resulting in pulmonary venous thrombosis (PVT). This episode could have triggered simultaneous gastric and duodenal perforations. In addition, we hypothesized that PVT caused acute arterial...Continue Reading

References

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Jul 3, 2007·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·John P Girod, Angel Lopez-Candales
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Jul 27, 2017·The Journal of Pediatrics·Hirosuke InoueUNKNOWN Neonatal Research Network of Japan (NRNJ)

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