Recurrent supraventricular tachycardia and necrotizing enterocolitis: A causative role or a simple association? A case report and literature review

Pediatric Reports

Zahreddin Abusalah¹  Abdelazeim Abdallah¹  Ghassan Nakib²  Sameer Sajwani³  Gloria Pelizzo⁴  Aseel Fattah⁵  Nada Ibrahim⁵  Rossana Bussani⁶  Valeria Calcaterra⁷ 

[1] Department of Neonatology, MediclinicCity Hospital, Dubai;Department of Paediatric Surgery,Medclinic Middle East, Mediclinic CityHospital Dubai;Department of Paediatric, Pediatric Cardiology Unit, Mediclinic City Hospital, Dubai;Department of Pediatric Surgery, Children’s Hospital “G. Di Cristina, ARNAS Civico-Di Cristina-Benfretelli”, Palermo;Histopathology Unit, Mediclinic CityHospital, Dubai;Institute of Pathologic Anatomy, University of Trieste;Pediatric Unit, Department of Maternal and Children’s Health, Fondazione IRCCS Policlinico San Matteo and Department of Internal Medicine, University of Pavia;

关键词: Necrotizing enterocolitis;    supraventricular tachycardia;    recurrent;    newborn;    term;   

DOI  :  10.4081/pr.2018.7636

来源: DOAJ

【 摘 要 】

Insufficiency in mesenteric flow is a risk factor for the development of necrotizing enterocolitis (NEC). Recurrent episodes of supraventricular tachycardia (SVT) can lead to gut ischemia, with subsequent reperfusion injury. We present a term infant who developed NEC at 37 days of life after refractory SVT and reverted to sinus rhythm on day 23 and 25 of life. Resected stenotic ileum and transverse colon demonstrated inflammation with ischemia. This is the first case of NEC following SVT in a term infant without a congenital morphologic abnormality. In view of the temporal sequence of events, and in the absence of other risk factors for NEC, the SVT and NEC were likely causally related.

【 授权许可】

Unknown