Abstract
A case of a preterm infant with spontaneous ileal perforation is described in association with hypermagnesemia. No known causes (infection, hypotension, use of indomethacin, steroids, vasopressors, formula feedings) were identified as the etiology for perforation.
Highlights
A case of a preterm infant with spontaneous ileal perforation is described in association with hypermagnesemia
Magnesium sulfate was started for fetal neuroprotection and maternal VHL]XUHSURSK\OD[LV6KHGLGUHFHLYHDFRXUVHRIEHWDPHWKDVRQH Fetal ultrasound revealed severe intrauterine growth restriction and intermittent absence of umbilical artery (UA) dopplers
A decision was made to proceed with a primary cesarean section given DELRSK\VLFDOSUR¿OHRIDQGSHUVLVWHQWDEVHQFHRIHQGGLDVWROLF ÀRZ RQ 8$ GRSSOHUV +HU XULQH GUXJ VFUHHQ DQG &29,' VFUHHQ were negative
Summary
A case of a preterm infant with spontaneous ileal perforation is described in association with hypermagnesemia. Magnesium sulfate was started for fetal neuroprotection and maternal VHL]XUHSURSK\OD[LV6KHGLGUHFHLYHDFRXUVHRIEHWDPHWKDVRQH Fetal ultrasound revealed severe intrauterine growth restriction and intermittent absence of umbilical artery (UA) dopplers. A decision was made to proceed with a primary cesarean section given DELRSK\VLFDOSUR¿OHRIDQGSHUVLVWHQWDEVHQFHRIHQGGLDVWROLF ÀRZ RQ 8$ GRSSOHUV +HU XULQH GUXJ VFUHHQ DQG &29,' VFUHHQ were negative. Membranes were ruptured at delivery, and she remained afebrile.
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