Combination of congenital malformation of the gastrointestinal tract and kidneys: a clinical case

Currently, the correction of congenital malformations in children is one of the important tasks of modern medicine. If a radical correction of the defect is performed timely, the child will grow up healthy. Combinations of congenital malformations create serious difficulties for clinicians and require the participation of a multidisciplinary team, combining various approaches and methods. The article presents a clinical case of a newborn child with atresia of the ileum, hypoplasia of the aortic arch and bilateral hypoplasia of the kidneys. Since birth, the child’s condition was complicated by the development of shock and subsequent azotemia, hyperhydration. Since the correction of atresia could not be postponed for a long time, it was decided to perform implantation of a peritoneal catheter during surgery on the intestine in case of a repeat episode of acute kidney injury. The presented clinical case demonstrates the possibility of renal replacement therapy in patients after surgery in the abdominal cavity.