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[Intestinal obstruction caused by milk curds in newborns]
A Navarro1, C Melo, J C Pinzón
1Servicio de Cirugía Pediátrica, Hospital Materno-Infantil, Málaga.
Summary
Milk curd obstruction, a rare condition in neonates fed concentrated formula, can mimic other intestinal blockages. Gastrografin enemas offer a non-surgical treatment option, potentially avoiding surgery in some cases.
Area of Science:
- Neonatal Medicine
- Gastroenterology
- Pediatric Surgery
Background:
- Milk curd obstruction is a rare cause of intestinal obstruction in neonates.
- It typically affects healthy infants receiving concentrated formula feeds.
- Diagnosis can be challenging due to overlapping clinical and radiological features with other obstructive conditions.
Observation:
- Two cases of neonatal intestinal obstruction due to milk curds were treated at our hospital.
- Clinical presentation and imaging findings were suggestive of the diagnosis.
- One patient required surgical intervention, while the other was managed non-operatively.
Findings:
- The syndrome is associated with concentrated formula feeding in neonates.
- Radiological findings can aid in diagnosing milk curd obstruction.
- Non-surgical management with Gastrografin enemas is a viable option for selected cases.
Implications:
- Early recognition and appropriate management can prevent surgical complications.
- Gastrografin enemas may obviate the need for surgery in some milk curd obstruction cases.
- This condition highlights the importance of considering feeding practices in neonatal intestinal obstruction.