title: Segmental absence of intestinal muscle with ileal web in an extremely low birth weight infant: case report.
abstract: Spontaneous intestinal perforations are localized perforations without the typical clinical, radiological, and histopathological features of necrotizing enterocolitis. Spontaneous intestinal perforation is a recently defined clinical entity. The best-known risk factor is prematurity. It is seen 2-3% in very low birthweight infants and 5 % of extremely low birthweight infants. Herein we report an extremely low birthweight infant with spontaneous intestinal perforation, segmental absence of intestinal muscle and an ileal web as an underlying cause. We aimed to draw attention to the segmental absence of intestinal muscle which is rare but increasingly reported cause of spontaneous intestinal perforation and the importance of histopathologic examination of surgical specimens.
authors.affiliation: Division of Neonatology, Dr. Zekai Tahir Burak Kadin Sagligi Egitim ve Arastirma Hastanesi, Ankara, 06230, Turkey. mbuyuktiryaki@yahoo.com.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Buyuktiryaki
authors.affiliation: Division of Neonatology, Dr. Zekai Tahir Burak Kadin Sagligi Egitim ve Arastirma Hastanesi, Ankara, 06230, Turkey.
authors.forename: Hayriye G
authors.initials: HG
authors.lastname: Kanmaz
authors.affiliation: Division of Neonatology, Dr. Zekai Tahir Burak Kadin Sagligi Egitim ve Arastirma Hastanesi, Ankara, 06230, Turkey.
authors.forename: Nilüfer
authors.initials: N
authors.lastname: Okur
authors.affiliation: Division of Pediatric Surgery, Dr. Zekai Tahir Burak Kadin Sagligi Egitim ve Arastirma Hastanesi, Ankara, 06230, Turkey.
authors.forename: Ufuk
authors.initials: U
authors.lastname: Ates
authors.affiliation: Division of Pathology, Dr. Zekai Tahir Burak Kadin Sagligi Egitim ve Arastirma Hastanesi, Ankara, 06230, Turkey.
authors.forename: Ali L
authors.initials: AL
authors.lastname: Sirvan
authors.affiliation: Division of Neonatology, Dr. Zekai Tahir Burak Kadin Sagligi Egitim ve Arastirma Hastanesi, Ankara, 06230, Turkey.
authors.forename: Nurdan
authors.initials: N
authors.lastname: Uras
mesh_terms: D006801:Humans; D052577:Infant, Extremely Low Birth Weight; D007231:Infant, Newborn; D007234:Infant, Premature; D007416:Intestinal Perforation / Q000175:diagnosis*; D007422:Intestines / Q000473:pathology; D008297:Male; D009130:Muscle, Smooth / Q000473:pathology*; D012307:Risk Factors
keywords: Ileal web; Intestinal muscle; Preterm infant; Spontaneous intestinal perforation