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Pneumoperitoneum in in-vitro Conceived Quadruplet Neonate: Rare Manifestation of Hirschsprung's Disease--Report of a Case.
Mihanovic, Jakov; Juric, Ivo; Pogorelic, Zenon; Mrklic, Ivana; Jukic, Miro; Furlan, Dubravko.
Afiliación
  • Mihanovic J; Department of Surgery, General Hospital Zadar, Zadar, Croatia.
  • Juric I; Department of Pediatric Surgery, Split University Hospital and Split University School of Medicine, Split, Croatia.
  • Pogorelic Z; Department of Pediatric Surgery, Split University Hospital and Split University School of Medicine, Split, Croatia. zenon@vip.hr.
  • Mrklic I; Department of Pathology, Split University Hospital and Split University School of Medicine, Split, Croatia.
  • Jukic M; Department of Pediatric Surgery, Split University Hospital and Split University School of Medicine, Split, Croatia.
  • Furlan D; Department of Pediatric Surgery, Split University Hospital and Split University School of Medicine, Split, Croatia.
Acta Medica (Hradec Kralove) ; 58(4): 144-6, 2015.
Article en En | MEDLINE | ID: mdl-26960828
INTRODUCTION: Hirschsprung's disease is a congenital colonic aganglionosis, usually presented as inability or difficulty in passing of meconium, chronic and persistent obstipation, maleficent feeding, vomiting, distension and lethargy. CASE PRESENTATION: We presented a case of an in-vitro conceived quadruplet premature neonate who presented with pneumoperitoneum caused by transverse colon spontaneous perforation and microcolon appearance of distal bowel, treated by resection and temporary colostomy turns to be a rare manifestation of Hirschsprung's disease. CONCLUSION: Assisted reproductive technologies increases chances for multiple pregnancies and may increase chance for major congenital anomalies. Rare manifestation of Hirschsprung's disease is spontaneous pneumoperitoneum which remains a surgical emergency. Delay in recognizing and treatment can significantly worsen prognosis. In neonate with intestinal perforation one should consider Hirschsprung's disease.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neumoperitoneo / Cuádruples / Enfermedad de Hirschsprung Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Humans / Male / Newborn Idioma: En Revista: Acta Medica (Hradec Kralove) Asunto de la revista: MEDICINA Año: 2015 Tipo del documento: Article País de afiliación: Croacia Pais de publicación: República Checa
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neumoperitoneo / Cuádruples / Enfermedad de Hirschsprung Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Humans / Male / Newborn Idioma: En Revista: Acta Medica (Hradec Kralove) Asunto de la revista: MEDICINA Año: 2015 Tipo del documento: Article País de afiliación: Croacia Pais de publicación: República Checa