Case presentation A female second twin was born to a 39- year-old mother at 29 weeks of gestation through a cesarean section due to restricted intrauterine growth of the second fetus. Infant details Birth weight - 645 grams APGAR score - 9 at both 1 and 5 minutes The infant was admitted to the NICU. Postoperative findings Histopathology – A transmural perforation with ischemic necrosis and hemorrhage in the bowel No postoperative complications.
Four days post operation – Enteric feeding started Discussion SIP is an acquired neonatal intestinal condition where a single or multiple perforations are observed in the intestine, typically in the ileum. A primary differential diagnosis for SIP is necrotizing enterocolitis (NEC) that presents with abdominal bluish-black discoloration (not seen in the present case). The differentiating factors are presence of symptoms upto seven days after…
