title: Olive oil enema in a pre-term infant with milk curd syndrome.
abstract: Milk curd syndrome was first reported in the 1960s, but was gradually forgotten because of its low incidence thereafter. This condition in pre-term infants has been reported over the last decade and has again attracted neonatologists' attention. The present report describes a pre-term infant with milk curd syndrome. Abdominal distension was evident 14 days after the start of feeding with fortified expressed milk. Abdominal X-ray showed multiple intraluminal masses surrounded by a halo of air, and ultrasound indicated hyperechoic masses. Along with that history and the appearance of fecal impaction, the diagnosis of milk curd syndrome was confirmed. This baby was treated with olive oil enemas and successive colonic lavage for 3 days, and the symptoms were relieved. Olive oil enema, which softens hard stools and induces smooth movement of these stools, may be an effective and safe first-line treatment in pre-term infants with milk curd syndrome.
authors.affiliation: Division of Surgery, National Center for Child Health and Development, Tokyo, Japan. watanabe-ts@ncchd.go.jp
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Watanabe
authors.forename: Masataka
authors.initials: M
authors.lastname: Takahashi
authors.forename: Shoichiro
authors.initials: S
authors.lastname: Amari
authors.forename: Michinobu
authors.initials: M
authors.lastname: Ohno
authors.forename: Kaori
authors.initials: K
authors.lastname: Sato
authors.forename: Hideaki
authors.initials: H
authors.lastname: Tanaka
authors.forename: Mikiko
authors.initials: M
authors.lastname: Miyasaka
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Fuchimoto
authors.forename: Yushi
authors.initials: Y
authors.lastname: Ito
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Kanamori
mesh_terms: D003108:Colonic Diseases / Q000175:diagnosis / Q000628:therapy*; D003937:Diagnosis, Differential; D004733:Enema / Q000379:methods*; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D007235:Infant, Premature, Diseases / Q000175:diagnosis / Q000628:therapy*; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000628:therapy*; D008297:Male; D000069463:Olive Oil; D010938:Plant Oils / Q000008:administration & dosage*; D011860:Radiography, Abdominal; D013577:Syndrome
chemical_list: D000069463:Olive Oil; D010938:Plant Oils
keywords: inspissated milk; milk curd obstruction; milk curd syndrome; olive oil; premature infant