Necrotizing Enterocolitis - SArora

Necrotizing Enterocolitis - SArora - Necrotizing...

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Necrotizing Enterocolitis Pediatric Surgery Conference Shalini Arora July 15 th , 2005
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Case Presentation LS is a ex 26 weeker from a twin gestation delivered by emergency caesarean section when mother presented to the ER with cord prolapse Birth weight 680 g Apgars 9/9 at birth, Neopuff in delivery room S/p surfactant Dx w/ Staph Epidermidis sepsis and meningitis Feeds began on DOL 4
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On DOL 28 began having episodes of bradycardias and desaturation, intolerance of tube feeds and abdominal distention Abdominal radiograph suspicious for pneumatosis intestinalis in RLQ Over the next five days had worsening clinical status w/ thrombocytopenia, increased ventilatory support, worsening abdominal distention
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Operative Findings Distended loops small bowel Necrotic terminal ileum and right colon extending to mid-distal transverse colon Underwent an extended Right hemicolectomy w/ ileostomy and mucous fistula
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POD #10 Significantly improved clinically Remains intubated Awaiting bowel function, NPO w/ GI decompression, IV antibiotics Pathology consistent with necrotizing enterocolitis
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This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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Necrotizing Enterocolitis - SArora - Necrotizing...

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