Rivista di formazione e aggiornamento professionale del pediatra e del medico di base, fondata nel 1982. In collaborazione con l'Associazione Culturale Pediatri.
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Un vomito tanto precoce: la spia di un’atresia intestinale

A precocious vomiting: the early sign of bowel atresia

Giovanna Ferrara1,5, Tamara Stampalija2, Daniela Codrich3,
Cristina Simionato4, Andrea Taddio1,5, Laura Travan6
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

Aprile 2016

Abstract
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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Bibliografia
  • Ferrara G, Stampalija T, Codrich D, Simionato C, Taddio A, Travan L. More than (Double) Bubble. J Pediatr 2015;167(4):942-942.e1.
  • Best KE, Tennant PW, Addor MC, et al. Epidemiology of small intestinal atresia in Europe: a register-based study. Arch Dis Child Fetal Neonatal Ed 2012;97(5):F353-8.
  • Adams SD, Stanton MP. Malrotation and intestinal atresias. Early Hum Dev 2014;90(12):921-5.
  • Grosfeld JL, Ballantine TV, Shoemaker R. Operative mangement of intestinal atresia and stenosis based on pathologic findings. J Pediatr Surg 1979;14(3):368-75.
  • Virgone C, D’antonio F, Khalil A, Jonh R, Manzoli L, Giuliani S. Accuracy of prenatal ultra-sound in detecting jejunal and ileal atresia: systematic review and meta-analysis. Ultrasound Obstet Gynecol 2015;45(5):523-9.
  • Ladd AP, Madura JA. Congenital duodenal anomalies in the adult. Arch Surg 2001;136:576-84.
  • Godbole P, Stringer MD. Bilious vomiting in the newborn: How often is it pathologic? J Pediatr Surg 2002;37(6):909-11.
  • Mohinuddin S, Sakhuja P, Bermundo B, et al. Outcomes of full-term infants with bilious vomiting: observational study of a retrieved cohort. Arch Dis Child 2015;100(1):14-7.