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Title
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Dolichocolon presenting with bilateral hydronephrosis in a neonate
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Author
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Abstract
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| Background. Dolichocolon is an inborn anatomic variant of the colon with redundancies often causing constipation and/or volvulus presenting in childhood, adolescence, or adulthood. To the best of our knowledge, this is the first case of dolichocolon presenting in infancy with constipation and bilateral hydronephrosis. Case Presentation. A nineteen-day-old neonate presented to the emergency department with severe constipation and discomfort. During his admission, he developed pyelonephritis, and subsequent ultrasound of the kidneys and bladder showed bilateral hydroureteronephrosis. A barium enema was performed and it showed a dolichocolon. Enemas and lactulose were initiated with good effect on both the constipation as well as the hydronephrosis. Conclusions. Dolichocolon in a neonate can cause severe constipation which could also lead to an obstructive nephropathy if untreated. Monitoring of urine flow might be indicated when a neonate presents with severe constipation. |
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Language
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English
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Source (journal)
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Case Reports in Pediatrics
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Publication
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2021
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ISSN
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2090-6803
2090-6811
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DOI
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10.1155/2021/6658525
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Volume/pages
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2021
(2021)
, 5 p.
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Article Reference
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6658525
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ISI
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000636286000001
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Pubmed ID
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33828868
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Medium
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E-only publicatie
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Full text (Publisher's DOI)
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Full text (open access)
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