Hirschsprung's disease, a rare precipitating factor in neonatal perforated Meckel's diverticulum

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9 Citations (Scopus)

Abstract

Perforation of Meckel's diverticulum (MD) during the neonatal period may occur in the presence of distal colon obstruction. Herein, we describe a unique case of a 2-day-old infant that presented with pneumoperitoneum, in which a perforated MD was induced by distal intestinal obstruction secondary to total colonic aganglionosis. In the setting of neonatal perforated MD found intraoperatively, the determination of the possible precipitating etiology is necessary. The clinical history of delayed passage of meconium is emphasized, and either a rectal or colon biopsy is recommended intraoperatively to avoid overlooking the associated presence of Hirschsprung's disease.

Original languageEnglish
Pages (from-to)1319-1321
Number of pages3
JournalJournal of pediatric surgery
Volume41
Issue number7
DOIs
Publication statusPublished - 2006 Jul 1

Fingerprint

Meckel Diverticulum
Precipitating Factors
Hirschsprung Disease
Colon
Meconium
Pneumoperitoneum
Intestinal Obstruction
History
Biopsy

All Science Journal Classification (ASJC) codes

  • Surgery
  • Pediatrics, Perinatology, and Child Health

Cite this

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title = "Hirschsprung's disease, a rare precipitating factor in neonatal perforated Meckel's diverticulum",
abstract = "Perforation of Meckel's diverticulum (MD) during the neonatal period may occur in the presence of distal colon obstruction. Herein, we describe a unique case of a 2-day-old infant that presented with pneumoperitoneum, in which a perforated MD was induced by distal intestinal obstruction secondary to total colonic aganglionosis. In the setting of neonatal perforated MD found intraoperatively, the determination of the possible precipitating etiology is necessary. The clinical history of delayed passage of meconium is emphasized, and either a rectal or colon biopsy is recommended intraoperatively to avoid overlooking the associated presence of Hirschsprung's disease.",
author = "Sy, {E. D.} and Shan, {Y. S.} and Yang, {Y. R.} and Tsai, {H. M.} and Lin, {C. H.}",
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T1 - Hirschsprung's disease, a rare precipitating factor in neonatal perforated Meckel's diverticulum

AU - Sy, E. D.

AU - Shan, Y. S.

AU - Yang, Y. R.

AU - Tsai, H. M.

AU - Lin, C. H.

PY - 2006/7/1

Y1 - 2006/7/1

N2 - Perforation of Meckel's diverticulum (MD) during the neonatal period may occur in the presence of distal colon obstruction. Herein, we describe a unique case of a 2-day-old infant that presented with pneumoperitoneum, in which a perforated MD was induced by distal intestinal obstruction secondary to total colonic aganglionosis. In the setting of neonatal perforated MD found intraoperatively, the determination of the possible precipitating etiology is necessary. The clinical history of delayed passage of meconium is emphasized, and either a rectal or colon biopsy is recommended intraoperatively to avoid overlooking the associated presence of Hirschsprung's disease.

AB - Perforation of Meckel's diverticulum (MD) during the neonatal period may occur in the presence of distal colon obstruction. Herein, we describe a unique case of a 2-day-old infant that presented with pneumoperitoneum, in which a perforated MD was induced by distal intestinal obstruction secondary to total colonic aganglionosis. In the setting of neonatal perforated MD found intraoperatively, the determination of the possible precipitating etiology is necessary. The clinical history of delayed passage of meconium is emphasized, and either a rectal or colon biopsy is recommended intraoperatively to avoid overlooking the associated presence of Hirschsprung's disease.

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