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[Colonic stenosis following necrotizing enterocolitis in newborn infants. Apropos of 3 cases]
Insights
Surgical intervention successfully treated three infants with double left colic stenosis, a condition presenting as subobstruction in newborns. These cases suggest cicatricial stenosis may result from necrotizing enterocolitis, potentially linked to mesenteric ischemia.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Neonatal Pathology
Background:
- Double left colic stenosis is a rare congenital anomaly.
- Necrotizing enterocolitis (NEC) is a serious gastrointestinal condition in neonates.
- Colonic strictures can be a sequela of NEC.
Observation:
- Three cases of double left colic stenosis presenting as subobstruction at one month of age are described.
- Radiological and histological data from surgical resections suggest cicatricial stenosis.
- The findings support a benign form of NEC with colonic localization.
Findings:
- Surgical treatment led to recovery in all reported cases.
- Histological examination revealed submucous connective tissue sclerosis.
- These observations reinforce the link between NEC and colonic stenosis.
Implications:
- This study highlights a potential cause of benign colonic strictures in infants.
- The findings support the hypothesis that transient mesenteric ischemia contributes to NEC.
- Understanding these mechanisms is crucial for neonatal gastrointestinal care.
Abstract:
Three cases of double left colic stenosis revealed at one month of age by subobstruction are reported. Recovery was obtained by surgery. The evolution of radiological data in one case, and of histological changes observed on the resected sigmoid colon in the two other cases favor the assumption that cicatricial stenosis occurred likewise. These cases also confirm the existence of a benign expression of necrotising enterocolitis, most common with a colonic localization. Such stenosis due to submucous connective sclerosis strengthens the hypothesis that a transitory mesenteric ischemia is responsible for the necrotizing enterocolitis in newborns.