• Shi-Qi Liu, Qi-Feng Li, Yi Lv, Jing-Ru Zhao, Rui-Xue Luo, Peng-Fei Zhang, Jin-Zhen Guo, An-Peng Zhang, and Qing-Hong Li.
• Department of Neonatal Surgery, the Children Hospital of Xi'an City, Xi'an.
• Medicine (Baltimore). 2020 Dec 11; 99 (50): e23613.

RationaleRectal atresia caused by necrotizing enterocolitis (NEC) is a serious and rare complication in children. Magnetic compression anastomosis (MCA) has been effectively applied in children with congenital oesophageal atresia and biliary atresia. Herein, we reported a case of successfully application of MCA in an infant with rectal atresia following NEC.Patient ConcernsA 30 weeks premature birth female fetal infant was transferred to our neonatal intensive care unit due to premature delivery, low birth weight, and neonatal respiratory distress. On postpartum day 11, the infant developed abdominal distension and mucosanguineous feces. This infant was then clinically diagnosed as NEC. She underwent anesthesia and intestinal fistula operation on postpartum day 11 because of NEC.DiagnosisAfter 3 months, radiographic examination revealed rectal atresia and stricture.InterventionsThis infant was successfully treated with MCA following a cecum-rectal anastomosis and ileocecal valve was reserved.OutcomesOn postoperative day 9, she passed the 2 magnets per rectum. In addition, there were no difficult defecation or fecal incontinence or other short-term complications. After the 7-month follow-up, the patient had an excellent clinical outcome.LessonsMCA is a feasible and effective method for treating rectal atresia in infants.

26 keywords...

hide…