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case_report·pediatrics, obstetrics and gynecology, surgery, gastroenterology·PMC10627711

Congenital Sodium Diarrhea: Antenatal Diagnosis May Prevent Unnecessary Surgery in the Neonate

AJP Reports · 3 authors, 2 centres

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TL;DR

The authors emphasize that considering congenital diarrheal diseases in the antenatal differential may prevent unnecessary neonatal surgery.

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Intraoperative findings included diffuse intestinal distention without obstruction or atresia. The infant was started on TPN, stabilized, and eventually underwent ostomy reversal.

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case_report

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pediatrics

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ORIGINAL PAPER

PMC10627711

Congenital Sodium Diarrhea: Antenatal Diagnosis May Prevent Unnecessary Surgery in the Neonate

AJP Reports

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ABSTRACT

Abstract Congenital sodium diarrhea (CSD) is a rare, life-threatening condition characterized by intractable diarrhea, hyponatremia, and metabolic acidosis. It presents similarly to other congenital disorders and, therefore, is often misdiagnosed and mistreated. We present a case of CSD that presented with dilated loops of bowel and polyhydramnios at 18 weeks and was thought to be a congenital bowel obstruction. The patient was therefore managed surgically after birth with a diverting ileostomy, however was later found to have elevated stool sodium levels and metabolic derangements consistent with CSD. Our case demonstrates the need for high index of suspicion for congenital diarrheal disorders to prevent unnecessary surgery and a delay in appropriate medical management of this rare condition. Keywords: congenital diarrhea, congenital sodium diarrhea, polyhydramnios, dilated fetal bowel

CITATION EXPORT

Dana S Berger, Virginia Tancioco, Vineet K Shrivastava. Congenital Sodium Diarrhea: Antenatal Diagnosis May Prevent Unnecessary Surgery in the Neonate. AJP Reports. (2023). https://doi.org/10.1055/s-0043-1776148

AUTHORS

3 · 2 CENTRES

Dana S Berger, Virginia Tancioco, Vineet K Shrivastava

1Department of Obstetrics and Gynecology, University of California, Irvine, Orange, California
2Department of Obstetrics and Gynecology, Miller Children's and Women's Hospital, Long Beach, California