Article |

Milk Curd Obstruction Mimicking Necrotizing Enterocolitis

Am J Dis Child. 1980;134(10):989-990. doi:10.1001/archpedi.1980.02130220065019.
Text Size: A A A
Published online

Intestinal obstruction in the newborn due to milk curds was first observed by Cook and Rickham1 in 1969. The diagnosis has been confused with necrotizing enterocolitis (NEC).2 A recent experience with an infant with milk curd obstruction who had clinical and roentgenographic evidence of NEC prompted this report.

Report of a Case.—An 880-g boy of 28 weeks' gestation was delivered vaginally after prolonged rupture of fetal membranes for more than 120 hours and administration of a course of betamethasone (12 mg/day for two doses) five days prior to delivery. Apgar scores of 8 and 4 at one and five minutes, respectively, led to bag and mask ventilation with 100% inspired oxygen. Initial problems included hyaline membrane disease that required prolonged mechanical ventilation, jaundice that required a double volume exchange transfusion, and seizures. Continuous feedings through a tube placed in the second portion of the duodenum consisting of commercially


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.