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April 1973, Vol 125, No. 4 >
Article | April 1973

Neonatal Pneumatosis Intestinalis Associated With Milk Intolerance FREE

Ezzat M. Aziz, MD
[+] Author Affiliations

Received for publication July 17, 1972; accepted Dec 12.

Reprint requests to the Division of Neonatology, Medical College of Georgia, School of Medicine, Department of Pediatrics, Augusta, Ga 30902 (Dr. Aziz).


Am J Dis Child. 1973;125(4):560-562. doi:10.1001/archpedi.1973.04160040062013.
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Comments

A case of pneumatosis intestinalis was associated with milk intolerance in a preterm newborn infant. The infant's clinical condition and bloody diarrhea improved on a milk-free diet. The symptoms recurred when the infant was challenged with milk. The milk intolerance, starting at the age of 20 hours, was thought to be secondary to transient lactose intolerance which has been reported in premature infants.

Management included a short period of total parenteral feeding followed by a milk-free diet. There was complete recovery. A lactose tolerance test at age 9 months was normal after which the infant tolerated milk without any complications. Results of follow-up of the infant showed normal growth and development.

REFERENCES

1 +
Colquhoun J:  Intramural gas in hollow viscera . Clin Radiol 16:71-76, 1965;.
Link to Article
2 +
Lerner HH, Gazin AI:  Pneumatosis intestinalis: Its roentgenologic diagnosis . Am J Roentgenol Radium Ther Nucl Med 56:464-469, 1946;.
3 +
Stevenson JK, et al:  Neonatal necrotizing enterocolitis: A report of 21 cases with 14 survivors . Am J Surg 118:260-272, 1969;.
Link to Article
4 +
Coello-Ramirez P, Gutierres-Topete G, Lifshitz F:  Pneumatosis intestinalis . Am J Dis Child 120:3-9, 1970;.
5 +
Hopkins GB, et al:  Necrotizing enterocolitis in premature infants: A clinical and pathologic evaluation of autopsy material . Am J Dis Child 120:229-232, 1970;.
6 +
Tan KL, Tan AYO, Wong TTT:  Necrotizing enterocolitis in young infants . Clin Pediatr (Phila) 11:44, 1972;.
Link to Article
7 +
Lee SB, Kuhn JP:  Pneumatosis intestinalis with pneumomediastinum in a neonate . J Pediatr 79:813, 1971;.
Link to Article
8 +
Wilmore DW, Dudrick SJ:  Growth and development of an infant receiving all nutrients exclusively by view . JAMA 203:140-144, 1968;.
Link to Article
9 +
Abdo-Bassols F, Lifshitz F, Castillo ED:  Transient lactose intolerance in premature infants . Pediatrics 48:816, 1971;.
10 +
Seaman WB, Fleming RJ, Baker DH:  Pneumatosis intestinalis of the small bowel . Semins Roentgenol 1:234-242, 1966;.
Link to Article
11 +
Kay Butler JJ:  Interstitial emphysema of the cecum . Gut 3:267-268, 1962;.
Link to Article

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Colquhoun J:  Intramural gas in hollow viscera . Clin Radiol 16:71-76, 1965;.
Link to Article
2 +
Lerner HH, Gazin AI:  Pneumatosis intestinalis: Its roentgenologic diagnosis . Am J Roentgenol Radium Ther Nucl Med 56:464-469, 1946;.
3 +
Stevenson JK, et al:  Neonatal necrotizing enterocolitis: A report of 21 cases with 14 survivors . Am J Surg 118:260-272, 1969;.
Link to Article
4 +
Coello-Ramirez P, Gutierres-Topete G, Lifshitz F:  Pneumatosis intestinalis . Am J Dis Child 120:3-9, 1970;.
5 +
Hopkins GB, et al:  Necrotizing enterocolitis in premature infants: A clinical and pathologic evaluation of autopsy material . Am J Dis Child 120:229-232, 1970;.
6 +
Tan KL, Tan AYO, Wong TTT:  Necrotizing enterocolitis in young infants . Clin Pediatr (Phila) 11:44, 1972;.
Link to Article
7 +
Lee SB, Kuhn JP:  Pneumatosis intestinalis with pneumomediastinum in a neonate . J Pediatr 79:813, 1971;.
Link to Article
8 +
Wilmore DW, Dudrick SJ:  Growth and development of an infant receiving all nutrients exclusively by view . JAMA 203:140-144, 1968;.
Link to Article
9 +
Abdo-Bassols F, Lifshitz F, Castillo ED:  Transient lactose intolerance in premature infants . Pediatrics 48:816, 1971;.
10 +
Seaman WB, Fleming RJ, Baker DH:  Pneumatosis intestinalis of the small bowel . Semins Roentgenol 1:234-242, 1966;.
Link to Article
11 +
Kay Butler JJ:  Interstitial emphysema of the cecum . Gut 3:267-268, 1962;.
Link to Article

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