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Not Everything Is Cordless Today-Case Report of Acute Intestinal Obstruction in a Neonate Due to Cord Clamping
Daniel Keese1, Anne-Kathrin Schwalbach1, Andrea Schmedding1
1Department of Pediatric Surgery and Pediatric Urology, Goethe University Frankfurt, Frankfurt, Germany.
Abstract:
We report a case of a 2-day-old neonate with bilious vomiting and abdominal distension. A small bowel obstruction with ileal perforation due to a misplaced clamping of the umbilical cord was apparent before laparotomy. This complication was a sequala after clamping the cord too close to the abdominal wall in a case where there was a hernia into the cord with intestinal content. A herniation of abdominal contents due to an omphalocele minor or a hernia must be taken into consideration during the inspection of the umbilical cord before clamping.

