Fortified milk: a rare cause of intestinal obstruction in pre-term patients.

R Ramírez Díaz, I Ibarra Rodríguez, G M Gavilanes Salazar, C Moreno Hurtado, M R Chamorro Juárez
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Abstract

Introduction: Intestinal obstruction secondary to the use of fortified milk is a rare cause in pre-term patients.

Case report: We present the case of a female pre-term newborn admitted as a result of abdominal distension and rectal bleeding, which mimicked necrotizing enterocolitis. On abdominal X-ray, she had an obstruction pattern, and on ultrasonography, echogenic masses at the distal ileum were observed. Given the lack of improvement with conservative management, urgent exploratory laparotomy was decided upon. At surgery, compact milk masses at the level of the distal ileum were identified as the cause of intestinal obstruction. Appendicostomy and lavage with saline solution through the ileocecal valve were performed. This allowed milk masses to come out towards the colon, and a great amount of acholic stools to be expelled.

Conclusion: The increase in "milk curd syndrome" cases should lead us to consider this cause in the differential diagnosis of intestinal obstruction in pre-term newborns fed with fortified milk.

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强化牛奶:导致早产儿肠梗阻的罕见原因。
导言:使用强化牛奶导致的肠梗阻在早产儿中非常罕见:本病例是一名女性早产新生儿,因腹胀和直肠出血入院,症状类似坏死性小肠结肠炎。腹部 X 光片显示她有梗阻症状,超声波检查发现回肠远端有回声肿块。鉴于保守治疗效果不佳,医生决定进行紧急剖腹探查术。在手术中,发现回肠远端有紧密的乳块,这是肠梗阻的原因。手术进行了阑尾造口术,并通过回盲瓣用生理盐水进行灌洗。结论:"牛奶凝乳综合症 "的发病率在不断上升:结论:"乳凝块综合征 "病例的增加应促使我们在对使用强化牛奶喂养的早产新生儿肠梗阻进行鉴别诊断时考虑到这一病因。
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