Andreas Martin Fette
University of Pecs, Germany
Title: Subtotal long segment bowel atresia in a preterm infant. A special case report
Biography
Biography: Andreas Martin Fette
Abstract
We report on a preterm infant (24+2 WGA, 490 g birth weight) who presented with an acute abdomen suspicious of a perforated NEC after a so far typical course of such a sick baby on our NICU. The baby was passing meconium flakes and urine and was on combined enteral and parenteral feeding since birth. Initial sequential ultrasounds and X-rays so far showed no serious abdomino-visceral pathology. During emergency surgery a subtotal continuous atretic intestine starting from the ligament of Treitz down to the sigmoid region was detected. No continuity of the intestine or visible mesenteric vasculature was found. In addition, an ischemic gastric wall perforation and a large liver hematoma with an ongoing DIC were detected. The final outcome was fatal. We concluded, that this might be an extremely rare variant of a hereditary multiple (subtotal) apple peal atretic bowel syndrome.