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Tytuł oryginału: Case of neonate with Cantrell's pentalogy complicated by necrotizing enterocolitis.
Autorzy: Zajączkowska-Sadlok Arleta, Koziołkiewicz Kazimierz, Korbal Piotr
Źródło: Case Rep. Clin. Pract. Rev. 2002: 3 (1) s.24-27, il., bibliogr. 12 poz.
Sygnatura GBL: 313,612

Hasła klasyfikacyjne GBL:
  • pediatria

    Typ dokumentu:
  • praca kazuistyczna
  • tytuł obcojęzyczny

    Wskaźnik treści:
  • ludzie
  • noworodki
  • płeć męska

    Streszczenie angielskie: Background: Cantrell's pentalogy is a rare congenital defect syndrome, including hernia of the umbilical cord, diaphragmetic defect, abnormalities of teh sternum structure, preicardial defect and heart defect. Only 6 cases of children with the above syndrome who survived were described before 1996. Now, advances in intensive care and new surgical techniques allows to correct more congenital defects, thus making possible further development of the child. Case reprot: The paper presents a case of a neonate, born after full-term pregnancy, operated on the first day of life because of omphalocele, in whom detection of other anomalies contributed to the diagnosis of Cantrell's pentalogy with coplex heart defect in the form of Fallot's tetralogy. The post-operative course was additionally complicated by necrotizing enterocolitis, requiring exteriorization of the small intestine and long-term complete parenteral feeding. The enterostomy was closed in the 2nd month of life. Because of reterdation of psychomotor development, due probably to numerous repeated hospitalizations, the child underwent rehabilitation accordingto Vojta's method, which resulted in gradual development of motor and cognitive functions. The patient required close co-operation between the parents and physcicians representing many medical disciplines. Cardiosurgical consultation led to qualification of the boy for surgical correction of heart defects which is to be performed at the age of 1 year. Then the patient is scheduled or reconstruction of the abdominal integument. Conclusions: Therefore, Cantrell's pentalogy seems to be one of teh defect syndromes, in which survival and nearly normal development of the child is possible owing to advances in pediatric surgery, intensive care and therapy.

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