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Korean J Pediatr 2006 July;49(7) :800-804.
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 Choi (Choi WS)1, Il Hong Moon (Moon IH)1, Jang Hoon Lee (Lee JH)1, Seung Hwa Lee (Lee SH)2, Byung Min Choi (Choi BM)1, Baik-Lin Eun (Eun BL)1, Young Sook Hong (Hong YS)1, Joo Won Lee (Lee JW)1
1Department of Pediatrics, Korea University College of Medicine, Seoul, Korea
2Department of Diagnostic Radiology, Korea University College of Medicine, Seoul, Korea
Corresponding Author: Byung Min Choi ,Email:
Copyright © 2006 by The Korean Pediatric Society
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.
Keywords: Necrotizing enterocolitis | Peritonitis | Infant | Low birth weight
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Analysis of the association between necrotizing enterocolitis and transfusion of red blood cell in very low birth weight preterm infants  2013 March;56(3)
Analysis of prognostic factors of laparotomy for necrotizing enterocolitis in extremely low birth weight infants  2010 February;53(2)
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