Вопросы современной педиатрии (Apr 2015)

MALFORMATIONS OF INTESTINE IN PREMATURE INFANTS UNDER THE MASK OF NECROTIZING ENTEROCOLITIS

  • Yu. I. Kucherov,
  • Yu. V. Zhirkova,
  • T. N. Shishkina,
  • M. G. Rekhviashvili

DOI
https://doi.org/10.15690/vsp.v14i2.1303
Journal volume & issue
Vol. 14, no. 2
pp. 300 – 304

Abstract

Read online

Some congenital malformations of the gastrointestinal tract in premature infants are difficult to diagnose due to a lack of specific clinical picture. As a rule, they are masked under necrotizing enterocolitis resulting in the improper management of such patients. The article describes two clinical cases of Hirschsprung's disease and neuronal intestinal dysplasia in newborns. Both cases were regarded as necrotizing enterocolitis of newborns resulting in tactical treatment errors. We made a conclusion that the surgical tactics for patients with congenital disorders of both the enteric nervous system and muscular intestinal wall tissue, which manifest themselves as enterocolitis or perforation, should be determined only when you are fully confident in the functional usefulness of all parts of the intestine.

Keywords