pneumoperitoneum in in-vitro conceived quadruplet neonate: rare manifestation of hirschsprungʼs disease – report of a case
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2016
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Abstract
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.
| Reference Key |
mihanovi2016actapneumoperitoneum
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| Authors | ;Jakov Mihanović;Ivo Jurić;Zenon Pogorelić;Ivana Mrklić;Miro Jukić;Dubravko Furlan |
| Journal | journal of the brazilian chemical society |
| Year | 2016 |
| DOI |
10.14712/18059694.2016.7
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