Korean Journal of Pediatrics 2006;49(7):800-804.
Published online July 15, 2006.
Primary peritoneal drainage as a treatment for perforated necrotizing enterocolitis with bacterial peritonitis in an extremely low birth weight infant : a case report
Wook Sun Choi1, Il Hong Moon1, Jang Hoon Lee1, Seung Hwa Lee2, Byung Min Choi1, Baik-Lin Eun1, Young Sook Hong1, Joo Won Lee1
1Department of Pediatrics, Korea University College of Medicine, Seoul, Korea
2Department of Diagnostic Radiology, Korea University College of Medicine, Seoul, Korea
세균성 복막염이 동반된 천공성 괴사성 장염을 일차적 복강 배액술로 완치한 초극소 저출생 체중아 1례
최욱선1, 문일홍1, 이장훈1, 이승화2, 최병민1, 은백린1, 홍영숙1, 이주원1
1고려대학교 의과대학 소아과학교실
2고려대학교 의과대학 영상의학과교실
Byung Min Choi, Email: cbmin@korea.ac.kr
Necrotizing enterocolitis(NEC) is the most common life-threatening surgical emergency in neonates, and remains a major cause of morbidity and mortality. In addition to conventional laparotomy, intraperitoneal drains have been used for the treatment of perforated NEC, especially in extremely low birth weight(ELBW) infants. We report a case of perforated NEC with bacterial peritonitis in an ELBW infant managed with primary peritoneal drainage(PD) without further need for surgery. To our knowledge, this is the first documented Korean case of an ELBW infant where PD was used as primary treatment for perforated NEC. Primary PD is effective and safe in ELBW infants with perforated NEC; although it is not considered a definitive procedure, it should be considered in all cases where infants are too unstable to tolerate anesthesia and surgery.
Key Words: Necrotizing enterocolitis , Peritonitis , Infant , Low birth weight

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