Meconium Peritonitis, Intestinal Atresia Combined With Biliary Atresia: A Case Report

Frontiers in Pediatrics

article

Yijiang Han¹  Shuqi Hu¹  Baohai Chen²  Shoujiang Huang¹  Qi Qin¹  Jinfa Tou¹ 

[1] Department of Neonatal Surgery, The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health;Department of Information Center, The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health

关键词: meconium peritonitis;    intestinal atresia;    biliary atresia;    short bowel;    Kasai;   

DOI  :  10.3389/fped.2022.917116

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Meconium peritonitis (MP) combined with intestinal atresia (IA) is a rare neonatal condition, and it is even rarer in combination with biliary atresia (BA). We describe a case of an infant who developed short bowel syndrome after partial intestinal resection due to MP and IA, along with a Santullienterostomy. During continuous enteral and parenteral nutrition, the stool color became paler. BA was identified by elevated direct bilirubin (DBIL), gamma-glutamyltransferase (GGT), serum matrix metalloproteinase-7 (MMP-7), and hepatobiliary ultrasound; then, Kasai portoenterostomy (KPE) was performed promptly. The Roux-en-Y limb was adjusted intraoperatively to preserve the maximum length of the small intestine while closing the enterostomy. After the operation, the infant gradually adapted to enteral nutrition, his bilirubin level returned to normal, and his weight gradually caught up to the normal range. Although rare, BA should be suspected when MP is combined with IA and when the stool becomes paler in color in the enterostomy state.

【 授权许可】

CC BY