Abstract
We experienced a very rare case of a gastrointestinal perforation due to multiple ileal polyps. The patient was a 2-day-old boy who weighed 1,430 g at birth. At neonatal day 2 subdiaphragmatic free air was noted and an emergency operation was performed. During surgery a distended ileum approximately 5 cm in size was found approximately 40 cm distal from the ileocecum, and a perforation was discovered in the distended portion of the intestine. Approximately 8 cm of the ileum was resected, including the distended portion of the intestine, and an ileostomy was performed. Examination of the resected specimen revealed three pedunculated polyps with a perforation proximal to the polyps.
References
Landsteiner K (1905) Darmverschluss durch eingedicktes Meconium. Pankreatitis, Centralbl f allg Path u path Anat 16:903
Clatworthy HW, Howard WHR, Lloyd J (1956) The meconium plug syndrome. Surgery 39:131–142
Rickham PP, Boeckman CR (1965) Neonatal meconium obstruction in the absence of mucoviscidosis. Am J Surg 109:173–177
Dodat H, Chappuis JP, Daudet M, Bertrix L, Eulry ML, Daley F (1979) Meconial peritonitis. Recordings about six observations. Diagnostic and prognostic value of calcifications. Chir Pediatr 20:21–26
Murshed R, Spitz L, Kiely E, Drake D (1997) Meconium ileus: a ten-year review of thirty-six patients. Eur J Pediatr Surg 7:275–277
Dimmitt RA, Moss RL (2000) Meconium diseases in infants with very low birth weight. Semin Pediatr Surg 9:79–83
Mintz AC, Applebaum H (1993) focal gastrointestinal perforations not associated with necrotizing enterocolitis in very low birth weight neonates. J Pediatr Surg 28:857–860
Aschner JL, Deluga KS, Metlay LA, Emmens RW, Hendricks-Munoz KD (1988) Spontaneous focal gastrointestinal perforation in very low birth weight infants. J Pediatr 113:364–367
Tatekawa Y, Muraji T, Imai Y, Nishijima E, Tsugawa C (1999) The mechanism of focal intestinal perforations in neonates with low birth weight. Pediatr Surg Int 15:549–552
Buchheit JQ, Stewart DL (1994) Clinical comparison of localized intestinal perforation and necrotizing enterocolitis in neonates. Pediatrics 93:32–36
Nagaraj HS, Sandhu AS, Cook LN, Buchino JJ, Groff DB (1981) Gastrointestinal perforation following indomethacin therapy in very low birth weight infants. J Pediatr Surg 16:1003–1007
Meyer CL, Payne NR, Roback SA (1991) Spontaneous, isolated intestinal perforations in neonates with birth weight <1,000 g not associated with necrotizing enterocolitid. J Pediatr Surg 26:714–717
Novack CM, Waffarn F, Sills JH, Pousti TJ, Warden MJ, Cunningham MD (1994) Focal intestinal perforation in the extremely-low-birth-weight infant. J Perinatol 14:450–453
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Asagiri, K., Tanaka, Y., Tanaka, H. et al. Multiple Ileal polyps associated with gastrointestinal perforation in a 2-day-old neonate. Ped Surgery Int 21, 846–849 (2005). https://doi.org/10.1007/s00383-005-1545-z
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DOI: https://doi.org/10.1007/s00383-005-1545-z