Olive oil enema in a pre-term infant with milk curd syndrome

Toshihiko Watanabe, Masataka Takahashi, Shoichiro Amari, Michinobu Ohno, Kaori Sato, Hideaki Tanaka, Mikiko Miyasaka, Yasushi Fuchimoto, Yushi Ito, Yutaka Kanamori

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)


Milk curd syndrome was first reported in the 1960s, but was gradually forgotten because of its low incidence thereafter. This condition in pre-term infants has been reported over the last decade and has again attracted neonatologists' attention. The present report describes a pre-term infant with milk curd syndrome. Abdominal distension was evident 14 days after the start of feeding with fortified expressed milk. Abdominal X-ray showed multiple intraluminal masses surrounded by a halo of air, and ultrasound indicated hyperechoic masses. Along with that history and the appearance of fecal impaction, the diagnosis of milk curd syndrome was confirmed. This baby was treated with olive oil enemas and successive colonic lavage for 3 days, and the symptoms were relieved. Olive oil enema, which softens hard stools and induces smooth movement of these stools, may be an effective and safe first-line treatment in pre-term infants with milk curd syndrome.

Original languageEnglish
Pages (from-to)e93-e95
JournalPediatrics International
Issue number4
Publication statusPublished - 2013 Aug 1


  • inspissated milk
  • milk curd obstruction
  • milk curd syndrome
  • olive oil
  • premature infant

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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