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Related Concept Videos

Esophageal Perforation-II: Clinical Manifestations and Management01:28

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Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
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Esophageal Perforation-I: Introduction01:22

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Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
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Inflammatory Bowel Disease I: Ulcerative Colitis01:27

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The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
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Necrosis01:16

Necrosis

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Updated: Feb 18, 2026

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Internal Hernia Masquerading As Necrotizing Enterocolitis.

Ranjit I Kylat1

  • 1Department of Pediatrics, College of Medicine, University of Arizona, Tucson, AZ, United States.

Frontiers in Pediatrics
|November 23, 2017
PubMed
Summary

Acute abdominal emergencies like spontaneous intestinal perforation and necrotizing enterocolitis are less common in extremely preterm infants. Early diagnosis of internal hernia, an uncommon cause of neonatal bowel obstruction, is crucial for timely intervention.

Keywords:
acute abdomenexploratory laparotomyextreme preterm infantinternal herniasnecrotizing enterocolitis

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Area of Science:

  • Neonatal surgery
  • Pediatric gastroenterology
  • Critical care medicine

Background:

  • Improving neonatal care has reduced the incidence of acute abdominal emergencies in extremely preterm infants.
  • Spontaneous intestinal perforation and necrotizing enterocolitis are the most common surgical emergencies in this population.
  • Conservative management and temporary drainage are standard initial approaches for these conditions.

Observation:

  • Internal hernia (IH) is a rare but significant cause of bowel obstruction in neonates.
  • IH often presents diagnostic challenges and may be discovered post-mortem.
  • Preterm infants present unique considerations for IH diagnosis and management.

Findings:

  • The abstract discusses the presentation of IH in preterm infants.
  • It highlights the importance of differentiating IH from more common conditions like necrotizing enterocolitis.
  • Emphasis is placed on the critical need for early diagnosis of internal hernia.

Implications:

  • Early diagnosis of internal hernia in preterm infants can prevent delayed surgical intervention.
  • Improved diagnostic strategies for IH are needed to reduce mortality and morbidity.
  • Understanding the nuances of IH presentation in neonates is vital for surgical teams.