Aprile 2016 - Volume XXXV - numero 4
Pagine elettroniche
1UO di Pediatria e Neonatologia, Ospedale S. Maria delle Croci, Ravenna; 2Chirurgia Pediatrica Ospedale Infermi, Rimini, AUSL della Romagna
Indirizzo per corrispondenza: sara.dal.bo@gmail.com
Key words: Cocaine abuse, Newborn, Intestinal perforation
Cocaine abuse during pregnancy is associated with a significant increase in obstetric complications: i.e. premature labour, premature rupture of membranes, abortion, eclampsia, and placental abruption. Infants of cocaine-addicted mothers present with an increased incidence of low birth weight, congenital defects, respiratory distress, hypotonia, and seizures. Moreover, infants exposed in utero and through breast milk to cocaine present with an higher risk of cerebral ictus, impaired kidney function and intestinal ischemic injury with perforation or NEC. The paper describes a case of isolated intestinal perforation in the newborn of a cocaine-addicted mother. The case is characterized by the absence of associated risk factors present in the other cases described in the literature.
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Pagine elettroniche
1Clinica Pediatrica, 2Unità di Diagnosi Prenatale, 3Dipartimento di
Chirurgia, 4Neonatologia e Terapia Intensiva Neonatale,
IRCCS Materno-Infantile “Burlo Garofolo”, Trieste
5Università di Trieste
6Dipartimento di Ginecologia e Ostetricia, Ospedale di San Donà
di Piave, Venezia
Indirizzo per corrispondenza: giovanna.ferrara@gmail.com
Key words: Foetal vomiting, Duodenal atresia
Small bowel atresia is a congenital obstruction of the lumen of the duodenum, jejunum or ileum and is one of the most common causes of neonatal bowel obstruction. It usually arises with vomiting in the first 48 h of life, but more and more frequently it is detected by prenatal ultra-sound. Any suspicion of this diagnosis mandates emergency investigation and/or operative intervention. The paper reports a case of duodenal atresia suspected during the third month of gestation for polydramnios and foetal vomiting, promptly confirmed and treated after birth.
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