A Peculiar Cause for Metabolic Acidosis in the Newborn

Sundeep Kisku, Sudipta Sen, Reju Joseph Thomas, Arindam Dastidar, Niranjan Thomas


Metabolic acidosis is often encountered in a sick neonate and intestinal duplication with heterotopic gastric mucosa is a well-established condition.  We present a previously unreported relationship between neonatal metabolic acidosis, resulting from transperitoneal absorption of hydrochloric acid, and a ruptured non- communicating ileal duplication cyst with gastric mucosal heterotopia. The neonate recovered rapidly after resection of the ileal duplication. We present this case to highlight a rare but surgically correctable cause of neonatal metabolic acidosis.


Ileal duplication, Gastric heterotopia, Perforation, Metabolic acidosis

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DOI: http://dx.doi.org/10.21699/jns.v1i4.15


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