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Fatal Intestinal Obstruction in a Patient With Fetal Alcohol Syndrome
Cassandra Maria Wygant1, Stephen D Cohle
1From the Department of Pathology and Laboratory Medicine, Spectrum Health Blodgett Campus, Grand Rapids, MI.
Insights
A child with fetal alcohol syndrome died from intestinal dilation and asphyxia. This case highlights potential causes of intestinal issues in fetal alcohol syndrome patients.
Area of Science:
- Pediatric Pathology
- Gastroenterology
- Genetics
Background:
- Fetal alcohol syndrome (FAS) is a spectrum of birth defects caused by maternal alcohol consumption during pregnancy.
- Intestinal complications are not commonly associated with FAS, but can occur.
- Pica, the compulsive eating of non-food items, can lead to gastrointestinal issues.
Observation:
- An 8-year-old boy with a history of FAS and pica was found deceased.
- The autopsy revealed massive intestinal dilatation as the cause of death.
- The intestinal dilation led to asphyxia.
Findings:
- Massive intestinal dilatation was identified as the direct cause of death.
- The potential link between fetal alcohol syndrome and intestinal dilation is explored.
- Pathogenetic mechanisms for intestinal dilation in FAS are discussed.
Implications:
- This case underscores the importance of recognizing potential gastrointestinal complications in children with FAS.
- Further research into the pathogenetic mechanisms of intestinal dilation in FAS is warranted.
- Early identification and management of gastrointestinal issues may improve outcomes for children with FAS.
Abstract:
We describe an 8-year-old white boy with a history of fetal alcohol syndrome and pica, who was found dead on the floor by his mother. The child died from massive intestinal dilatation causing asphyxia. We discuss the potential pathogenetic mechanisms of intestinal dilation in patients with fetal alcohol syndrome.
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