Uncommon presentation of perforated Meckel’s diverticulum in preterm newborn

Álvares, Beatriz Regina; Yumioka, Aline Satomi; Santos, Isabela Gusson Galdino dos

doi:10.1590/0100-3984.2014.0134

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Cited by 5 publications

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“…[1][2][3][4][5] Our patient is probably the youngest micropreemie baby reported with a perforated MD to date. Despite worsening clinical status, the patient did not have radiographic evidence of pneumoperitoneum until DOL 5.…”

Section: Letter To the Editormentioning

confidence: 76%

Pneumoperitoneum in a Micro – Preemie due to Perforated Meckel’s Diverticulum

Alemayehu

Singh

et al. 2018

J Neonat Surg

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Section: Letter To the Editormentioning

confidence: 76%

Pneumoperitoneum in a Micro – Preemie due to Perforated Meckel’s Diverticulum

Alemayehu

Singh

et al. 2018

J Neonat Surg

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Perforated Meckel's diverticulum in a neonate

Orelaru

Reddy

Brahmamdam

2018

Journal of Pediatric Surgery Case Reports

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Perforated Meckel’s diverticulum in neonates: a report of six cases and systematic review of the literature

et al. 2022

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Background Perforation of Meckel Diverticulum (MD) is a rare cause of pneumoperitoneum in neonates. We hereby report six cases of perforation of MD in neonates, with addition of 53 cases from systematic review of the literature. A systematic review was performed using Mesh terms “Neonate, Meckel Diverticulum, Perforation, Pneumoperitoneum.” All reports of perforated MD in the English literature were identified. Details of our 6 cases were analyzed in similar fashion. Results A total of 3027 manuscripts were screened and 59 cases including 6 of our own were identified. The vast majority (78%) were female. Fifty patients (84.7%) presented in the newborn period. Half of the cases (52.5%) had associated anomalies and 13 neonates (22%) required oxygen supplementation including CPAP or ventilatory support before surgery. In 73% of the cases, a resection of gut was undertaken. Histopathological assessment in 44 cases (74.6%) revealed no ectopic gastric mucosa. Three cases demised prior to treatment. The outcome in the vast majority was excellent with 84.7% surviving and discharged well. Conclusion Perforated MD is an unusual cause of a pneumoperitoneum in the newborns. Diagnosis is established at laparotomy and it rare to find ectopic mucosa histopathologically. The overall outcome is excellent.

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Uncommon presentation of perforated Meckel’s diverticulum in preterm newborn

Cited by 5 publications

References 6 publications

Pneumoperitoneum in a Micro – Preemie due to Perforated Meckel’s Diverticulum

Pneumoperitoneum in a Micro – Preemie due to Perforated Meckel’s Diverticulum

Perforated Meckel's diverticulum in a neonate

Perforated Meckel’s diverticulum in neonates: a report of six cases and systematic review of the literature

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