Late intestinal stricture formation occurring between distal contrast study and delayed elective stoma closure after perforated necrotizing enterocolitis

Journal of Pediatric Surgery Case Reports

卷:72

Hussam Widatella¹  Daniel Pasquale Cinelli¹  Sri Paran² 

[1] Paediatric Surgery, Children's Health Ireland at Crumlin Hospital, Dublin, Ireland;

[2] Paediatric Surgery, Consultant Paediatric Surgeon, Trinity College Dublin, Children's Health Ireland at Crumlin Hospital, Dublin, Ireland;

关键词: Necrotizing enterocolitis;    Intestinal stricture;    Congenital heart disease;   

DOI  :  

来源: DOAJ

【 摘 要 】

We present an unusual case of delayed distal colonic stricture following ileostomy formation in a term infant with significant atrioventricular septal defect and ischaemic small bowel perforation. Contrast studies performed 2 months after ileostomy formation detected a stricture at the transverse colon, but did not detect a distal colonic stricture. Ileostomy closure was delayed due to Covid 19 restrictions and the second stricture was not anticipated preoperatively, leading to major postoperative complications. This case highlights the need to perform timely distal contrast studies, preferably within 6–8 weeks prior to planned stoma closure in complex children with significant underlying comorbidities.

【 授权许可】

Unknown