Open AccessCASE OF MULTIPLE ACUTE SMALL BOWEL PERFORATIONS IN A CHILD AGED 9 MONTHS OLD
Author(s) -
E. M. Ignatev,
А. М. Ефременков,
R. B. Trunova,
N. I. Petrikova,
N. A. Snitkin,
O. V. Shvedova,
Yu. Yu. Sokolov
Publication year - 2018
Publication title -
detskaâ hirurgiâ
Language(s) - English
Resource type - Journals
eISSN - 2412-0677
pISSN - 1560-9510
DOI - 10.18821/1560-9510-2018-22-1-52-54
Subject(s) - medicine , etiology , laparotomy , small intestine , surgery , enteritis , ileostomy , peritonitis , jejunostomy , intubation , pathogenesis , parenteral nutrition , gastroenterology
The article presents the clinical observation of a child 9 months old with multiple perforations of the small intestine, which appeared against the background of acute enteritis of unknown etiology. Long-term surgical treatment was performed. At the first stage, a sanation laparotomy was performed with excision of jejuno- and ileostomy with the intubation of the small intestine. After the reversal phenomena of peritonitis, the closure of the jejunostomy with intubation of the small intestine was performed. The final stage was the closure of ileostomy. The total duration of the treatment is 2 months. A brief review of the literature devoted to multiple perforations of the small intestine in children with a description of the etiology, pathogenesis and treatment of this disease is given.