Caso contributivo
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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