Uitblijvende meconiumlozing door malrotatie en colonatresie

Gijsbert D. Musters; Stephanie Klein Ikkink; Femke Hensen; Erik A. B. Buijs; Celeste R. C. Laarman; Joep P. M. Derikx

Uitblijvende meconiumlozing door malrotatie en colonatresie

Translated title of the contribution: Delayed meconium passage due to malrotation and colon atresia

Gijsbert D. Musters, Stephanie Klein Ikkink, Femke Hensen, Erik A. B. Buijs, Celeste R. C. Laarman, Joep P. M. Derikx

Research output: Contribution to journal › Article › Professional

Abstract

BACKGROUND: If a newborn does not pass the first bowel movement within 48 hours, there may be an underlying cause. We describe a rare cause of delayed meconium passage. CASE DESCRIPTION: The neonate was born after a gestational age of 40 weeks and 2 days. The home birth was followed by a good start. Radiological imaging was performed due to the absence of the first stool and an increase in abdominal distention. The imaging showed an abnormal course of the colon with an sudden stop. Subsequently, surgery was conducted and an intestinal malrotation with a colonic atresia was found. During the surgery, a colonic anastomosis with a deviating loop ileostomy were constructed. The postoperative course was uneventful. CONCLUSION: Delayed meconium passage has a very extensive differential diagnosis, in which an atresia of the intestine is one of the possibilities. A quick and structured approach is essential to prevent a possible blow-out of the intestine.

Translated title of the contribution	Delayed meconium passage due to malrotation and colon atresia
Original language	Dutch
Journal	Nederlands Tijdschrift voor Geneeskunde
Volume	166
Publication status	Published - 27 Sept 2022

Cite this

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title = "Uitblijvende meconiumlozing door malrotatie en colonatresie",

abstract = "BACKGROUND: If a newborn does not pass the first bowel movement within 48 hours, there may be an underlying cause. We describe a rare cause of delayed meconium passage. CASE DESCRIPTION: The neonate was born after a gestational age of 40 weeks and 2 days. The home birth was followed by a good start. Radiological imaging was performed due to the absence of the first stool and an increase in abdominal distention. The imaging showed an abnormal course of the colon with an sudden stop. Subsequently, surgery was conducted and an intestinal malrotation with a colonic atresia was found. During the surgery, a colonic anastomosis with a deviating loop ileostomy were constructed. The postoperative course was uneventful. CONCLUSION: Delayed meconium passage has a very extensive differential diagnosis, in which an atresia of the intestine is one of the possibilities. A quick and structured approach is essential to prevent a possible blow-out of the intestine.",

author = "Musters, {Gijsbert D.} and {Klein Ikkink}, Stephanie and Femke Hensen and Buijs, {Erik A. B.} and Laarman, {Celeste R. C.} and Derikx, {Joep P. M.}",

year = "2022",

month = sep,

day = "27",

language = "Dutch",

volume = "166",

journal = "Nederlands Tijdschrift voor Geneeskunde",

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TY - JOUR

T1 - Uitblijvende meconiumlozing door malrotatie en colonatresie

AU - Musters, Gijsbert D.

AU - Klein Ikkink, Stephanie

AU - Hensen, Femke

AU - Buijs, Erik A. B.

AU - Laarman, Celeste R. C.

AU - Derikx, Joep P. M.

PY - 2022/9/27

Y1 - 2022/9/27

N2 - BACKGROUND: If a newborn does not pass the first bowel movement within 48 hours, there may be an underlying cause. We describe a rare cause of delayed meconium passage. CASE DESCRIPTION: The neonate was born after a gestational age of 40 weeks and 2 days. The home birth was followed by a good start. Radiological imaging was performed due to the absence of the first stool and an increase in abdominal distention. The imaging showed an abnormal course of the colon with an sudden stop. Subsequently, surgery was conducted and an intestinal malrotation with a colonic atresia was found. During the surgery, a colonic anastomosis with a deviating loop ileostomy were constructed. The postoperative course was uneventful. CONCLUSION: Delayed meconium passage has a very extensive differential diagnosis, in which an atresia of the intestine is one of the possibilities. A quick and structured approach is essential to prevent a possible blow-out of the intestine.

AB - BACKGROUND: If a newborn does not pass the first bowel movement within 48 hours, there may be an underlying cause. We describe a rare cause of delayed meconium passage. CASE DESCRIPTION: The neonate was born after a gestational age of 40 weeks and 2 days. The home birth was followed by a good start. Radiological imaging was performed due to the absence of the first stool and an increase in abdominal distention. The imaging showed an abnormal course of the colon with an sudden stop. Subsequently, surgery was conducted and an intestinal malrotation with a colonic atresia was found. During the surgery, a colonic anastomosis with a deviating loop ileostomy were constructed. The postoperative course was uneventful. CONCLUSION: Delayed meconium passage has a very extensive differential diagnosis, in which an atresia of the intestine is one of the possibilities. A quick and structured approach is essential to prevent a possible blow-out of the intestine.

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M3 - Article

C2 - 36300456

SN - 0028-2162

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JO - Nederlands Tijdschrift voor Geneeskunde

JF - Nederlands Tijdschrift voor Geneeskunde

ER -

Uitblijvende meconiumlozing door malrotatie en colonatresie

Abstract

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