A
female infant was born at 35 weeks gestational age with birth weight of 2.6 kg.
Antenatally, she was found to have an abdominal mass of unknown origin, so the
patient was admitted to neonatal intensive care unit immediately after birth. Abdominal
and pelvic computed tomography scan showed a huge cystic lesion with marginal
calcification and compression effect on the intestine. Diagnostic laparotomy
was done in the first day of life and showed ileal perforation with meconium
cyst formation.
Drainage of meconium was done with terminal ileum resection and
creation of ileostomy. Postoperatively, the patient received total parental
nutrition for one week, after which feeding was started gradually and
intravenous fluids were discontinued completely within 2 weeks. At one month of
age, the infant developed severe dehydration due to excessive losses of
gastrointestinal fluids through the ileostomy. She had delayed capillary refill
and hypotension. Laboratory testing revealed hyponatremia, hyperkalemia and
metabolic acidosis. Blood glucose was normal. Read more>>>>>>>>>>>>>>>>
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