Rectal prolapse unreduced for 4 months in a premature neonate

Abstract A 5 month old male infant was transferred to a children's general hospital with an 11-centimeter rectal prolapse, which had not been reduced for four months. He had been born at 24 weeks gestation with a normal perineum and had recovered from sepsis and respiratory failure. At the time...

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Bibliographic Details
Published inJournal of pediatric surgery case reports Vol. 2; no. 1; pp. 28 - 29
Main Authors Tashiro, Jun, Burnweit, Cathy A
Format Journal Article
LanguageEnglish
Published Elsevier Inc 2014
Subjects
Neonatal prematurity
Rectal prolapse
Surgery
Rectal prolapse
Neonatal prematurity
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Summary:Abstract A 5 month old male infant was transferred to a children's general hospital with an 11-centimeter rectal prolapse, which had not been reduced for four months. He had been born at 24 weeks gestation with a normal perineum and had recovered from sepsis and respiratory failure. At the time of arrival, he was tolerating feeds and having normal bowel movements. He had a normal neurologic exam and spinal x-rays. We performed a laparoscopic reduction with digital pressure from below to successfully address the prolapse. Hypertonic saline was additionally used as a sclerosant. There is no current consensus on the timeframe for addressing rectal prolapse, though a case that remains unreduced for four months in a neurologically normal newborn is exceedingly rare. To minimize potential complications, expeditious reduction and repair, as necessary, is recommended.
ISSN:2213-5766
2213-5766
DOI:10.1016/j.epsc.2013.12.002