Radiological presentation of a case of Type-III ileal atresia with unused microcolon in a rural setup- A case report
Keywords:
Ileal atresia, Microcolon, Gastroschisis, In-utero, Mesenteric defect
Abstract
Ileal atresia is the result of an in-utero vascular accident, leading to distal small bowel obstruction. Contrast enema is the primary imaging study to diagnose distal bowel obstruction. We present a case of a four day old child (neonate) with a history of bilious vomiting; diagnosed as ileal atresia with unused microcolon on plain film of the abdomen and contrast enema. In operation, the child had Type-III atresia.
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References
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2. Das PC, Rai R, Lobo GJ. Jejunal atresia associated with idiopathic ileal perforation. J Indian Assoc Pediatr Surg. 2008 Apr-Jun; 13(2):88-89. [PubMed]
3. Hasan Z, Gangopadhyay AN, Srivastava P, Hussain MA. Concavo-convex oblique anastomosis technique for jejuno ileal atresia. J Indian Assoc Pediatr Surg. 2009 Oct-Dec; 14(4):207-209.
4. Marilyn J. Siegel. Pediatric general abdomen. In: Hylton B, Meire, Cosgrove DO, editors. Abdominal and General Ultrasound, Churchill Livingstone publication; 2001(Vol 2). p. 1173-74.
5. Touloukian RJ. Intestinal atresia and stenosis. In: Ashcraft KW, Holder TM, editors. Pediatric surgery. 2nd ed. Philadelphia: Saunders; 1993. p. 305-19.
6. Lo WC, Wang CR, Lim KE, Microcolon in Neonates: Clinical and Radiographic Appearance. Journal of Clinical Neonatology 1998;5(1):14-18.
7. O'Neill JA Jr. Duodenal atresia and stenosis. In: O'Neill JA Jr, Rowe MI, Grosfeld JL, et al. eds. Pediatric Surgery. 5th ed. St Louis, Mo: Mosby; 1998. p. 1133-44.
8. Pawa S. Developmental Lesions of Gastrointestinal tract. In: Berry M, editor. Paediatric Radiology, 1st edition. Jaypee publication; 1997. p. 11-12. [PubMed]
9. Louw JH, Barnard CN. Congenital intestinal atresia; observations on its origin. Lancet. 1955;269 (6899) 1065-67. [PubMed]
10. Grosfeld JL. Jejunoileal atresia and stenosis. In: Welth KJ, Randolph JG, Ravitch MM, et al., editors. Pediatric surgery. 4th ed. Chicago: Year Book Medical Publishers, Inc; 1986. p. 838-48.
11. Koga Y, Hayashida Y. Intestinal atresia in fetal dogs produced by localized ligation of mesenteric vessels. J Pediatr Surg. 1975;10(6):949-53. [PubMed]
12. Puri P, Fijimoto T. New observations on the pathogenesis of multiple intestinal atresias. J Pediatr Surg. 1988;23(3):221-5. [PubMed]
13. Shalkow J, “Small intestinal atresia and stenosis treatment & management”, emedicine.medscape.com, http://emedicine.medscape.com/article/939258-treatment#a1134; (Accessed on 29 January 2015).
14. Louw JH, Barnard CN. Congenital intestinal atresia; observations on its origin. Lancet. Nov 19, 1955;269(6899):1065-7. [PubMed]
15. Francannet C, Robert E. Epidemiological study of intestinal atresias: central-eastern France Registry 1976-1992 [in French]. J Gynecol Obstet Biol Reprod (Paris). 1996;25(5):485-94. [PubMed]
16. Martinez-Frias ML, Castilla EE, Bermejo E, et al. Isolated small intestinal atresias in Latin America and Spain: epidemiological analysis. Am J Med Genet. Aug 28 2000;93(5):355-9. [PubMed]
17. DeLorimier AA, Fonkalsrud EW, Hays DM. Congenital atresia and stenosis of the jejunum and ileum. Surgery. May 1969;65(5):819-27. [PubMed]
18. Mulholland MW, Lillemore KD, Doherty GM, et al. eds. Intestinal atresias. In: Greenfield's Surgery, Scientific Principles and Practice. 3rd ed. Philadelphia, Pa: Lippincott Williams & Wilkins; 2002. [PubMed]
19. Francannet C, Robert E. Epidemiological study of intestinal atresias: central-eastern France Registry 1976-1992 [in French]. J Gynecol Obstet Biol Reprod (Paris). 1996;25(5):485-94. [PubMed]
20. Martinez-Frias ML, Castilla EE, Bermejo E, et al. Isolated small intestinal atresias in Latin America and Spain: epidemiological analysis. Am J Med Genet. Aug 28 2000;93(5):355-9.
21. Hernanz- Schulman M, Imaging of neonatal gastrointestinal obstruction, RCNA, Vol 37(6); 1999:1174-1180.
22. Phelps S, Fisher R, Partington A, Dykes E. Prenatal ultrasound diagnosis of gastrointestinal malformations. J Pediatr Surg. Mar 1997;32(3):438-40. [PubMed]
23. Tam PK, Nicholls G. Implications of antenatal diagnosis of small-intestinal atresia in the 1990s. Pediatr Surg Int. 1999;15(7):486-7. [PubMed]
24. Louw JH. Resection and end-to-end anastomosis in the management of atresia and stenosis of the small bowel. Surgery. Nov 1967;62(5):940-50.
CITATION
DOI: 10.17511/ijmrr.2015.i2.40
Published: 2015-03-31
How to Cite
1.
Yadav S, Rawal G, Gupta N. Radiological presentation of a case of Type-III ileal atresia with unused microcolon in a rural setup- A case report. Int J Med Res Rev [Internet]. 2015Mar.31 [cited 2024Jul.3];3(2):237-42. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/217
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Case Report
OAI - Open Archives Initiative
