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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
Summary
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.
