Concomitant involvement of the small intestine and the distal esophagus in an infant with massive necrotizing enterocolitis

Authors

  • Uenis Tannuri University of São Paulo; Faculty of Medicine
  • Virginia Antelmi Gomes University of São Paulo; Faculty of Medicine
  • Eduardo Juan Troster University of São Paulo; Faculty of Medicine

DOI:

https://doi.org/10.1590/S0041-87812004000300007

Keywords:

Necrotizing enterocolitis, Esophageal perforation, Total parenteral nutrition, Liver-small bowel transplantation

Abstract

Necrotizing enterocolitis is a disease of the newborn that may involve the small intestine and/or the colon, and the stomach. To our knowledge, massive necrosis of the small intestine with concomitant involvement of the esophagus has never been reported. A case of a 6-month-old boy with necrotizing enterocolitis and pan-necrosis of the small intestine, cecum, and the lower third of the esophagus is presented. After 70 days of treatment, intestinal transit was established by an anastomosis between the first centimeter of jejunum and the ascending colon. Finally, esophageal transit was established by a total gastric transposition with cervical esophagogastric anastomosis. The patient was maintained under total parenteral nutrition, and after 19 months he developed fulminant hepatic failure due to parenteral nutrition; he then underwent combined liver and small bowel transplantation. After 2 months, the patient died due to undefined neurologic complications, probably related to infection or immunosuppressive therapy.

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Published

2004-01-01

Issue

Section

Case Reports

How to Cite

Concomitant involvement of the small intestine and the distal esophagus in an infant with massive necrotizing enterocolitis . (2004). Revista Do Hospital Das Clínicas, 59(3), 131-134. https://doi.org/10.1590/S0041-87812004000300007