2020 Volume 56 Issue 1 Pages 168-173
An extremely low birth weight male infant born at 664g was operated for ileostomy and the abdominal drainage on day12 at regional hosital because of focal intestinal perforation. He was transferred to our institution for the purpose of laser therapy due to severe retinopathy of prematurity at the age of 2months old. After 7days from admission, he developed a necrotizing enterocolitis（NEC）due to MRSA infection and successful conservative management was done. Although the contrast study at the time of admittion showed the patency of the distal ileostomy to the anus, most of the distal intestine developed atrophic and strictured after NEC. A laparoscopic total colon resection and trans-anal endorectal pull through of the ileum was performed at the age of three.
An intestinal stricture after conservative management of NEC is a well-known complication. The colonic stricture following to NEC often occurs on the left side of the colon and the stricture is reported as sporadic in many cases, unlikely to our case which has no previous similar case report. We herein report this extremely rare case with review of the literature.
