[Peritonitis caused by meconial ileus in a very premature patient. Presentation of a clinical case].
The Authors describe a case of meconium peritonitis in a low birth weight infant with associated malrotation of the intestines. We retrospectively analyzed the surgical approach during the stages of the disease. The purpose of this study is to stress a conservative surgical therapy (peritoneal cavity toilette and ileostomy), followed thereafter by intensive care, which should carefully balance metabolic and nutritional needs; it's then possible to perform a second look (canalization) only three mounths later, when a reasonable growth is achieved. A multidisciplinary approach favoured the positive outcome.
Bertuccio
F
F
Divisione di Chirurgia Generale, Presidio Ospedaliero di Mantova, Italia.
Asteria
C
C
Montaldi
V
V
Bottura
C
C
D006801:Humans; D007077:Ileal Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000209:etiology*; D007415:Intestinal Obstruction / Q000150:complications* / Q000000981:diagnostic imaging / Q000209:etiology; D008297:Male; D008470:Meconium; D010538:Peritonitis / Q000209:etiology*; D011859:Radiography
Peritonite da ileo meconiale in paziente con prematurità grave. Presentazione di un caso clinico.