%0 Journal Article
%T Neonatal Intestinal Obstruction in Acute Renal Failure in Premature Infant: A Case Report
%A Ondima Lucienne Ir¨¨ne Patricia
%A Okiemy Niendet Cardinale Princilia
%A Gandzali-Ngabe Pierre Eric
%A Caryne Mboutol-Mandavo
%A Bosseba Missengui Rhodia H¨¦l¨¨ne
%A Akobande Nuptia Erica
%J Open Journal of Pediatrics
%P 338-343
%@ 2160-8776
%D 2024
%I Scientific Research Publishing
%R 10.4236/ojped.2024.142033
%X <strong>Introduction</strong><span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\"><strong>:</strong> Intestinal obstruction is a common cause of
abdominal surgery in t</span><span style=\"font-family:Verdana;\">he neonate. Diagnosis
is straightforward using standard radiology, a</span><span style=\"font-family:Verdana;\">nd su</span><span style=\"font-family:Verdana;\">rgical technique depends on the underlying
anatomical lesion. Peritone</span><span style=\"font-family:Verdana;\">al dialysis (PD) is an effective, albeit
invasive, therapy for neonatal renal failure. We report a case of neonatal
obstruction with severe renal failure treated by PD to highlight our hospital
practice and possible remedies in a context of limited resources. </span><b><span style=\"font-family:Verdana;\">Case Presentation</span></b><span style=\"font-family:Verdana;\">:
This was a female neonate of moderate p</span><span style=\"font-family:Verdana;\">rematurity
admitted on day 4 of life for management of a flat neonatal o</span><span style=\"font-family:Verdana;\">bs</span><span style=\"font-family:Verdana;\">truction. Radiological diagnosis suggested small
bowel atresia. Biological</span><span style=\"font-family:Verdana;\"> tests revealed severe renal failure with
creatinine levels of 416 micromoles per liter and blood urea of 27.1 micromoles
per liter. Management consisted of preoperative peritoneal dialysis for 48
hours followed by laparotomy. The intraoperative diagnosis was GROSFELD type
IIIa digestive atresia. The postoperative course was favourable, transit was
resumed on day 5 and the patient returned home on day 12. Progress at 3 months
was satisfactory. </span><b><span style=\"font-family:Verdana;\">Conclusion</span></b><span style=\"font-family:Verdana;\">: Neonatal intestinal obstruction with renal
failure in premature infants is associated with a poor prognosis, even more so
if there is a delay in treatment. Peritoneal dialysis seems to be a suitable
alternative for this management in our working conditions with limited
resources.</span></span></span>
%K Neonate
%K Occlusion
%K Peritoneal Dialysis
%K Case Report
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=131764