Large Lactobezoars Causing Postoperative Small Bowel Obstruction in a Neonate- A Case Report and Review of Literature
Published: August 1, 2021 | DOI: https://doi.org/10.7860/JCDR/2021/49049.15311
Usha Devi, Giridhar, Vembar, Logavengatesh
1. Associate Professor, Department of Neonatology, Chettinad Hospital and Research Institute, Chengalpet, Tamil Nadu, India.
2. Professor, Department of Neonatology, Chettinad Hospital and Research Institute, Chengalpet, Tamil Nadu, India.
3. Professor, Department of Paediatric Surgery, Madras Medical College, Chennai, Tamil Nadu, India.
4. Registrar, Department of Neonatology, Neolife Children’s Hospital, Chennai, Tamil Nadu, India.
Correspondence
Dr. Giridhar,
Rajiv Gandhi Salai (OMR), Chengalpet, Tamil Nadu, India.
E-mail: griridharsethu@gmail.com
Lactobezoars causing small bowel obstruction in the postoperative period has been rarely reported. Here, a term baby with severe intrauterine growth restriction was admitted in neonatal unit for low birth weight care. Baby was started on mother’s milk and gradually upgraded to full feeds. He developed Necrotising Enterocolitis (NEC) requiring surgery. Subsequently, amino acid based formula was warranted because of Short Bowel Syndrome (SBS). After reaching full feeds, baby demonstrated signs of small bowel obstruction requiring relook laparotomy. Large lactobezoars were found throughout the small bowel which were kneaded out. Postoperative period was also complicated by Enterocutaneous Fistula (ECF) which was conservatively managed. Child was discharged on full feeds after he showed consistent weight gain.
[
FULL TEXT ] | [ PDF]