- 期刊
Spontaneous Intestinal Perforation in a Very-Low-Birth-Weight Infant
極低出生體重早產兒之自發性腸道穿孔
並列摘要
Spontaneous intestinal perforation without clinical and histologic evidence of necrotizing enterocolitis (NEC) should be regarded as a distinct clinical entity in very-low-birth-weight (VLBW) infants. However, in clinical practice, NEC is diagnosed in the majority of infants with spontaneous intestinal perforation. A two day old VLBW male infant presented with abdominal distension which rapidly progressed to perforation. During surgery, the remaining bowel was found to be grossly normal except for two small perforations in the terminal ileum. Histology examination demonstrated segmental deficiency of the intestinal musculature at the perforation site. Operative findings and histological characteristics were all consistent with the diagnostic criteria for spontaneous intestinal perforation. His post-operative course was smooth. Growth and development were all normal for his age during the follow up period. We concluded that spontaneous intestinal perforation caused by congenital defect of the small intestinal musculature has a good prognosis if diagnosed and treated promptly.
延伸閱讀
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