title: A peculiar cause for metabolic acidosis in the newborn.
abstract: Metabolic acidosis is often encountered in a sick neonate and intestinal duplication with heterotopic gastric mucosa is a well-established condition. We present a previously unreported relationship between neonatal metabolic acidosis, resulting from transperitoneal absorption of hydrochloric acid, and a ruptured non- communicating ileal duplication cyst with gastric mucosal heterotopia. The neonate recovered rapidly after resection of the ileal duplication. We present this case to highlight a rare but surgically correctable cause of neonatal metabolic acidosis.
authors.affiliation: Department of Pediatric Surgery, Christian Medical College, Vellore, Tamil Nadu.
authors.forename: Sundeep
authors.initials: S
authors.lastname: Kisku
authors.affiliation: Department of Pediatric Surgery, Christian Medical College, Vellore, Tamil Nadu.
authors.forename: Sudipta
authors.initials: S
authors.lastname: Sen
authors.affiliation: Department of Pediatric Surgery, Christian Medical College, Vellore, Tamil Nadu.
authors.forename: Reju
authors.initials: R
authors.lastname: Joseph Thomas
authors.affiliation: Department of Pediatric Surgery, Christian Medical College, Vellore, Tamil Nadu.
authors.forename: Arindam
authors.initials: A
authors.lastname: Dastidar
authors.forename: Niranjan
authors.initials: N
authors.lastname: Thomas
keywords: Gastric heterotopia; Ileal duplication; Metabolic acidosis; Perforation