UNVEILING UNFORESEEN COMPLICATIONS: A NEONATAL CASE REPORT ON CORD CLAMPING AND ACUTE INTESTINAL OBSTRUCTION

Authors

  • Zlatko Aleksovski University Clinic for Pediatric Surgery, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia
  • Mile Petrovski University Clinic for Pediatric Surgery, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia
  • Lazar Todorovikj University Clinic for Pediatric Surgery, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia
  • Marjan Kamiloski University Clinic for Pediatric Surgery, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia
  • Sanja Djorikj University Clinic for Pediatric Surgery, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia
  • Aljen Dearovski University Clinic for Pediatric Surgery, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia
  • Sandra Petkovska PHO Center for Public Health - Skopje, Republic of North Macedonia

Keywords:

umbilical cord, umbilical cord hernia, cord clamping, acute intestinal obstruction, neonatal surgery

Abstract

This neonatal case report presents an unexpected and rare complication associated with cord clamping during the immediate postnatal period. The report focuses on a newborn who developed acute intestinal obstruction shortly after birth. The neonate's clinical course was examined, detailing the sequence of events from cord clamping to the emergence of gastrointestinal complications. Despite the routine nature of cord clamping and its perceived safety, this case highlights the need for heightened awareness of potential complications that can arise in the delicate transition from intrauterine to extrauterine life. Timely recognition of abdominal distension, impaired feeding, and other clinical signs prompted surgical intervention, leading to the diagnosis of intestinal obstruction. The management and subsequent outcomes of this case underscore the significance of careful monitoring and prompt intervention in neonatal care. This case report serves as a reminder that while cord clamping is a routine procedure, healthcare providers should remain vigilant to unforeseen complications that may demand immediate attention in the early moments of neonatal life.

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Published

2025-07-18

Issue

Section

Case Reports