Enterocutaneous fistula secondary to purpura fulminans in a preterm infant.
Enterocutaneous fistula in newborns and preterms is a well-recognized complication after necrotizing enterocolitis and abdominal surgical procedures/percutaneous interventions. However, to our knowledge, enterocutaneous fistula associated with purpura fulminans has not been reported before. Herein we report a preterm infant with purpura fulminans who developed cutaneous necrotic lesions on anterior abdominal wall. Adherence of necrotic abdominal skin to the adjacent intestinal wall resulted in enterocutaneous fistula. The patient was treated conservatively with bowel rest and antibiotics. The fistula was surgically closed 2 months later.
Dizdar
Evrim Alyamac
EA
Neonatal Intensive Care Unit, Zekai Tahir Burak Women Health and Education Hospital, Turkey. drevrim@yahoo.com
Oguz
Suna
S
Sari
Fatma Nur
FN
Erdeve
Omer
O
Ulu
Hulya Ozkan
HO
Dilmen
Ugur
U
D000005:Abdomen / Q000473:pathology; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D007412:Intestinal Fistula / Q000209:etiology* / Q000601:surgery / Q000628:therapy; D009336:Necrosis; D055665:Purpura Fulminans / Q000150:complications*; D012867:Skin / Q000473:pathology; D000267:Tissue Adhesions
D000900:Anti-Bacterial Agents