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Blowhole tangential cecostomy and transanal tube insertion for neonatal cecal perforation in a patient with Hirschsprung’s disease in the earlier definitive operation era

BACKGROUND: Although uncommon and seldom experienced, intestinal perforation is a well-known complication of Hirschsprung’s disease (HD). A literature review revealed that the cecum, including the appendiceal base, is a site of perforation. The cecum is not suitable for making an ordinary loop colos...

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Autores principales: Shirai, Takeshi, Hirose, Ryuichiro, Kai, Hiroki, Inatomi, Kaori, Yanagi, Yusuke, Iwanaka, Tsuyoshi, Iwasaki, Akinori
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6620225/
https://www.ncbi.nlm.nih.gov/pubmed/31292778
http://dx.doi.org/10.1186/s40792-019-0667-9
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author Shirai, Takeshi
Hirose, Ryuichiro
Kai, Hiroki
Inatomi, Kaori
Yanagi, Yusuke
Iwanaka, Tsuyoshi
Iwasaki, Akinori
author_facet Shirai, Takeshi
Hirose, Ryuichiro
Kai, Hiroki
Inatomi, Kaori
Yanagi, Yusuke
Iwanaka, Tsuyoshi
Iwasaki, Akinori
author_sort Shirai, Takeshi
collection PubMed
description BACKGROUND: Although uncommon and seldom experienced, intestinal perforation is a well-known complication of Hirschsprung’s disease (HD). A literature review revealed that the cecum, including the appendiceal base, is a site of perforation. The cecum is not suitable for making an ordinary loop colostomy, and the optimal operative strategy remains to be established. CASE PRESENTATION: We present a combination technique composed of tangential cecostomy at the perforated portion and postoperative care with a transanal indwelling tube, which was used in the treatment of a 3-day-old boy with cecal perforation with long-segment Hirschsprung’s disease. A temporary simple blowhole stoma and continuous decompression with daily irrigation via a transanal indwelling tube in the distal colon achieved a secure recovery and was followed by a definitive operation in the early period. The combination of tangential cecostomy and transanal indwelling catheter management led to the preservation of the ileocecal valve. CONCLUSIONS: We review the Japanese literature and emphasize the usefulness of this combination technique by blowhole tangential cecostomy and transanal tube insertion for neonatal cecal perforation in patients with HD in today’s early definitive operation era.
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spelling pubmed-66202252019-07-28 Blowhole tangential cecostomy and transanal tube insertion for neonatal cecal perforation in a patient with Hirschsprung’s disease in the earlier definitive operation era Shirai, Takeshi Hirose, Ryuichiro Kai, Hiroki Inatomi, Kaori Yanagi, Yusuke Iwanaka, Tsuyoshi Iwasaki, Akinori Surg Case Rep Case Report BACKGROUND: Although uncommon and seldom experienced, intestinal perforation is a well-known complication of Hirschsprung’s disease (HD). A literature review revealed that the cecum, including the appendiceal base, is a site of perforation. The cecum is not suitable for making an ordinary loop colostomy, and the optimal operative strategy remains to be established. CASE PRESENTATION: We present a combination technique composed of tangential cecostomy at the perforated portion and postoperative care with a transanal indwelling tube, which was used in the treatment of a 3-day-old boy with cecal perforation with long-segment Hirschsprung’s disease. A temporary simple blowhole stoma and continuous decompression with daily irrigation via a transanal indwelling tube in the distal colon achieved a secure recovery and was followed by a definitive operation in the early period. The combination of tangential cecostomy and transanal indwelling catheter management led to the preservation of the ileocecal valve. CONCLUSIONS: We review the Japanese literature and emphasize the usefulness of this combination technique by blowhole tangential cecostomy and transanal tube insertion for neonatal cecal perforation in patients with HD in today’s early definitive operation era. Springer Berlin Heidelberg 2019-07-10 /pmc/articles/PMC6620225/ /pubmed/31292778 http://dx.doi.org/10.1186/s40792-019-0667-9 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Case Report
Shirai, Takeshi
Hirose, Ryuichiro
Kai, Hiroki
Inatomi, Kaori
Yanagi, Yusuke
Iwanaka, Tsuyoshi
Iwasaki, Akinori
Blowhole tangential cecostomy and transanal tube insertion for neonatal cecal perforation in a patient with Hirschsprung’s disease in the earlier definitive operation era
title Blowhole tangential cecostomy and transanal tube insertion for neonatal cecal perforation in a patient with Hirschsprung’s disease in the earlier definitive operation era
title_full Blowhole tangential cecostomy and transanal tube insertion for neonatal cecal perforation in a patient with Hirschsprung’s disease in the earlier definitive operation era
title_fullStr Blowhole tangential cecostomy and transanal tube insertion for neonatal cecal perforation in a patient with Hirschsprung’s disease in the earlier definitive operation era
title_full_unstemmed Blowhole tangential cecostomy and transanal tube insertion for neonatal cecal perforation in a patient with Hirschsprung’s disease in the earlier definitive operation era
title_short Blowhole tangential cecostomy and transanal tube insertion for neonatal cecal perforation in a patient with Hirschsprung’s disease in the earlier definitive operation era
title_sort blowhole tangential cecostomy and transanal tube insertion for neonatal cecal perforation in a patient with hirschsprung’s disease in the earlier definitive operation era
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6620225/
https://www.ncbi.nlm.nih.gov/pubmed/31292778
http://dx.doi.org/10.1186/s40792-019-0667-9
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