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Appendicostomy for intraluminal antibiotic administration and extracorporeal membrane oxygenation support in severe Hirschsprung's enterocolitis.
[hirschsprung disease]
A
term
male
infant
with
Hirschsprung
's
disease
underwent
an
uncomplicated
laparoscopic-assisted
endorectal
pull-through
procedure
.
Four
weeks
after
discharge
,
the
patient
developed
severe
Clostridium
difficile
enterocolitis
with
hemodynamic
instability
and
peritonitis
.
Bedside
laparotomy
confirmed
intestinal
viability
and
accommodated
an
appendicostomy
for
antegrade
vancomycin
colonic
irrigations
.
The
patient
required
venoarterial
extracorporeal
membrane
oxygenation
for
physiological
support
for
more
than
six
days
.
Transition
to
conventional
support
was
successful
with
survival
and
discharge
from
the
hospital
free
from
hemorrhagic
complications
.
The
patient
is
now
developmentally
appropriate
for
his
age
.
Diseases
Validation
Diseases presenting
"accommodated an appendicostomy for antegrade vancomycin colonic irrigations"
symptom
hirschsprung disease
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