Document Detail


Indomethacin-induced colon perforation in Bartter's syndrome.
MedLine Citation:
PMID:  19347676     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Bartter's syndrome (BS) is an inherited renal tubular disorder characterized by hypokalemia, hypochloremic metabolic alkalosis, and hyperaldosteronism with normal blood pressure. A 22-year-old woman was referred at 23 week of gestation. Polyhydramnios was detected and the chloride level of the amniotic fluid was high. The mother was treated with indomethacin from 26 to 31 week of gestation. The newborn was delivered at 34 week of gestation. At 8th day of life, indomethacin was also started for the baby. After three days, a colonic perforation developed. Indomethacin-induced colon perforation is uncommon in antenatal Bartter's syndrome. This patient indicates that administration of indomethacin in both antenatal and/or early postnatal period may be associated with colonic perforation.
Authors:
Emel Ataoglu; Mahmut Civilibal; Ayse Ayaz Ozkul; Ipek Guney Varal; Elmas Reyhan Oktay; Elevli Murat
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-04-06
Journal Detail:
Title:  Indian journal of pediatrics     Volume:  76     ISSN:  0973-7693     ISO Abbreviation:  Indian J Pediatr     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2009-04-06     Completed Date:  2009-07-01     Revised Date:  2009-07-15    
Medline Journal Info:
Nlm Unique ID:  0417442     Medline TA:  Indian J Pediatr     Country:  India    
Other Details:
Languages:  eng     Pagination:  322-3     Citation Subset:  IM    
Affiliation:
Department of Neonatology, Istanbul University Cerrahpasa Medical Faculty, Istanbul, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Adult
Amniotic Fluid / chemistry*
Anti-Inflammatory Agents, Non-Steroidal / adverse effects*
Bartter Syndrome / complications,  diagnosis*,  drug therapy,  genetics
Colonic Diseases / complications,  genetics
Female
Gestational Age
Humans
Indomethacin / adverse effects*
Infant, Newborn
Intestinal Perforation / chemically induced*,  complications,  genetics
Mutation
Polyhydramnios / drug therapy*,  genetics
Pregnancy
Pregnancy Complications / genetics
Chemical
Reg. No./Substance:
0/Anti-Inflammatory Agents, Non-Steroidal; 53-86-1/Indomethacin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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