[Acquired internal intestinal fistulae in children]
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Published on: March 5, 2016
1Pavlov Ryazan State Medical University, Ryazan, Russia.
Insights
Acquired internal intestinal fistulae in children are rare, often stemming from post-surgical complications or necrotizing colitis. Early diagnosis and surgical intervention are crucial for managing these complex pediatric cases.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Neonatology
Background:
- Acquired internal intestinal fistulae are uncommon pediatric conditions.
- Diagnosis and management present unique challenges in infants and young children.
Purpose of the Study:
- To analyze the diagnostic methods and treatment strategies for acquired internal intestinal fistulae in pediatric patients.
- To identify the primary causes and outcomes associated with these fistulae.
Main Methods:
- Retrospective analysis of 3 pediatric cases with acquired internal intestinal fistulae.
- Utilized clinical, laboratory, and radiological diagnostic tools.
- Surgical and conservative treatment approaches were employed.
Main Results:
- Two cases involved post-surgical intestinal perforation following congenital obstruction repair.
- One premature infant developed a fistula secondary to necrotizing colitis.
- All patients underwent surgical repair, with 2 surviving and 1 succumbing to multiple organ failure.
Conclusions:
- Acquired internal intestinal fistulae in children can result from surgical complications or necrotizing colitis.
- Prompt diagnosis and appropriate surgical management are vital for improving patient outcomes.
- Necrotizing colitis is a significant risk factor in premature infants.
Objective:
To analyze the diagnosis and treatment of children with acquired internal intestinal fistulae.
Material And Methods:
There were 3 infants and young children with acquired internal intestinal fistulae. Clinical, laboratory and radiological diagnostic methods were used.
Results:
Two out of 3 children with acquired internal intestinal fistulae underwent surgical treatment for congenital intestinal obstruction. Acute intestinal ulcers appeared after surgery. In a premature child, intestinal fistula arose on the background of necrotizing colitis. Conservative approach was applied in this case. All children were operated on; intestinal fistula was eliminated. Two children are alive, 1 died after surgery (multiple organ failure).
Conclusion:
Acquired internal intestinal fistulae are rare in children. Their causes may be acute intestinal perforation after surgery or covered (not diagnosed) ulcer as a complication of necrotizing colitis in premature children.
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