Percutaneous transluminal angioplasty in recurrent necrotizing enterocolitis--a case report.
A 35-week gestation male neonate had 3 episodes of necrotizing enterocolitis (NEC), the first of which was managed surgically. Two further episodes of NEC were treated by medical management. Angiography then identified a stricture at the origin of the superior mesenteric artery. Percutaneous transluminal angioplasty successfully dilated the stenosis, and no further episodes of NEC occurred. Eight years later, the child exhibits a mild spastic diplegia and is thriving with no gastrointestinal disturbances. Angioplasty is technically feasible in the neonate and may be a treatment option in recurrent NEC associated with visceral arterial stenosis.
Houben
Christoph Heinrich
CH
Department of Paediatric Surgery, Great Ormond Street Hospital, WC1N 3JH London, UK. chhouben@web.de
Davies
Roger
R
Kiely
Edward M
EM
D000792:Angiography; D000800:Angioplasty, Balloon / Q000379:methods*; D020345:Enterocolitis, Necrotizing / Q000175:diagnosis* / Q000628:therapy*; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D008641:Mesenteric Vascular Occlusion / Q000000981:diagnostic imaging / Q000628:therapy*; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome