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[Intestinal infarction in the newborn].

J Larracilla-Alegre, M V Michel-Dávila, O Angulo-Hernández

    Boletin Medico Del Hospital Infantil De Mexico
    |January 1, 1976
    PubMed
    Summary
    This summary is machine-generated.

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    Intestinal infarction in children with acute gastroenteritis is a severe condition, often fatal in infants. Early surgical intervention is crucial for improving survival rates in these critical cases.

    Area of Science:

    • Pediatric Surgery
    • Gastroenterology
    • Neonatal Medicine

    Context:

    • Acute gastroenteritis in children can lead to severe complications.
    • Intestinal infarction is a rare but devastating condition in pediatric patients.
    • Diagnosis is challenging due to non-specific clinical and radiological findings.

    Purpose:

    • To investigate the incidence, clinical presentation, and outcomes of intestinal infarction in children with acute gastroenteritis.
    • To identify potential diagnostic indicators and risk factors for intestinal infarction.
    • To emphasize the importance of early surgical management for improving survival.

    Summary:

    • This study analyzed 20 pediatric cases of acute gastroenteritis complicated by intestinal infarction, revealing a high mortality rate (90%).

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  • The condition predominantly affected infants under one month and malnourished newborns with low birth weight.
  • Diagnosis was often delayed, being a post-mortem or surgical finding, with limited clinical or radiological diagnostic clues.

    • Impact:

    • Highlights the critical need for heightened clinical suspicion in infants with severe gastroenteritis.
    • Underscores the potential of prompt surgical intervention to improve outcomes in intestinal infarction.
    • Informs pediatricians and surgeons about the high-risk profile and diagnostic challenges associated with this condition.