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Neonatal Bowel Obstruction by Pseudolymphoma: A Case Report

Apostolia Galani1, Athanasios Zikopoulos2, Eirini Mastora1

  • 1Obstetrics and Gynaecology, University Hospital of Ioannina, Ioannina, GRC.

Cureus
|April 12, 2021
PubMed

Insights

A rare case of fetal interstitial obstruction in a newborn was caused by benign lymphoid hyperplasia, a type of pseudolymphoma. This condition requires immediate medical attention for affected infants.

Area of Science:

  • Pediatric Surgery
  • Neonatal Medicine
  • Gastroenterology

Background:

  • Interstitial obstruction in newborns presents a critical surgical emergency.
  • Common causes include malrotation, meconium issues, Hirschsprung's disease, and atresia/stenosis.
  • Pediatric gastrointestinal tumors are exceptionally rare in neonates.

Observation:

  • A significant dilation of the small bowel was detected on a 31-week fetal scan, indicating interstitial obstruction.
  • The newborn presented with symptoms necessitating immediate transfer to a specialized unit.
  • Surgical exploration (laparotomy) was performed to address the obstruction.

Findings:

  • The obstruction was found to be caused by a tumor.
  • Histological examination identified the tumor as benign lymphoid hyperplasia.
  • This represents a rare instance of pseudolymphoma causing fetal interstitial obstruction.

Implications:

  • Pseudolymphoma should be considered in the differential diagnosis for fetal interstitial obstruction.
  • Prompt diagnosis and surgical intervention are crucial for neonatal outcomes.
  • Understanding rare causes of neonatal obstruction aids in timely and appropriate management.

Keywords:
fetal interstitial obstructionpseudolymphoma

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