scholarly journals The Combination of Gastroschisis, Jejunal Atresia, and Colonic Atresia in a Newborn

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Zachary Bauman ◽  
Victor Nanagas
Keyword(s):  
Abdominal Wall ◽  
Rare Case ◽  
Intestinal Atresia ◽  
Abdominal Wall Closure ◽  
Case Presentation ◽  
Jejunal Atresia ◽  
Colonic Atresia ◽  
Small Bowel Atresia ◽  
Bowel Atresia ◽  
Surgical Option

We encountered a rare case of gastroschisis associated with jejunal atresia and colonic atresia. In our case, the jejunal atresia was not discovered for 27 days after the initial abdominal wall closure. The colonic atresia was not discovered for 48 days after initial repair of the gastroschisis secondary to the rarity of the disorder. Both types of atresia were repaired with primary hand-sewn anastomoses. Other than the prolonged parenteral nutrition and hyperbilirubinemia, our patient did very well throughout his hospital course. Based on our case presentation, small bowel atresia and colonic atresia must be considered in patients who undergo abdominal wall closure for gastroschisis with prolonged symptoms suggestive of bowel obstruction. Our case report also demonstrates primary enteric anastomosis as a safe, well-tolerated surgical option for patients with types of intestinal atresia.

scholarly journals A female neonate with absent anal opening and dug perineum: Think high

2020 ◽  
Vol 9 ◽  
pp. 30
Author(s):  
Parveen Kumar ◽  
Nitin Jain ◽  
Vivek Viswanathan ◽  
Rishabh Jain
Keyword(s):  
Small Bowel ◽  
Rectovaginal Fistula ◽  
Pediatric Surgery ◽  
Rare Case ◽  
General Surgeon ◽  
Ileal Atresia ◽  
Radiological Investigation ◽  
Case Presentation ◽  
Small Bowel Atresia ◽  
Bowel Atresia

Background: A female neonate with anorectal malformation (ARM) may have one, two, or three openings in the perineum. One opening represents cloaca while three openings usually suggest low ARM. Females with two openings in the perineum may be ARM without any fistula, rectovaginal fistula, or absent vagina. The association of ARM with multiple intestinal atresias and malrotation is rare. Case Presentation: We present here a case of a female neonate with two perineal openings, whose perineum was explored by a general surgeon without any radiological investigation and was later found to have a high ARM, multiple jejunal and ileal atresia with malrotation. Conclusion: ARM associated with small bowel atresia and malrotation are rarely described. Such cases require management in Pediatric surgery settings.

scholarly journals A Minor Innovation in Constructing a Small Bowel Stoma in Neonates with Small Bowel Atresia to Reduce the Morbidity

2016 ◽  
Vol 5 (4) ◽  
pp. 45 ◽  
Author(s):  
Naeem Khan ◽  
Saba Bakht ◽  
Nadia Zaheer
Keyword(s):  
Small Bowel ◽  
Primary Anastomosis ◽  
Intestinal Atresia ◽  
Stoma Formation ◽  
New Type ◽  
Small Bowel Atresia ◽  
Bowel Atresia ◽  
A Minor ◽  
Lost To Follow Up

Background: Intestinal atresia has still significant morbidity in developing countries. Stomas are now not recommended in every case of intestinal atresia; primary anastomosis is the goal of surgery after resection of dilated adynamic gut. A new type of stoma formation along with primary anastomosis is being presented here.Materials and Methods: This report is based on our experience of many cases with this technique in last 12 years but all the details and long follow-up of each case is not available. However the method of surgical procedure, progress, complications, and advantages encountered have been highlighted.Results: Presently we have data of 7 patients; others are lost to follow up. Three had died with other associated problems, namely one with multiple atresias, two with septic shock and prematurity. Two stomas did not require formal closure because stoma shriveled and disappeared. Two other stomas had grown very long like a diverticulum when these were closed after 5 and 8 months.Conclusion: This technique is another attempt to decrease morbidity of patients of intestinal atresia especially in those cases where short bowel syndrome is feared after resection of proximal dilated gut.

scholarly journals Supplementation of Mother’s Own Milk with Donor Milk in Infants with Gastroschisis or Intestinal Atresia: A Retrospective Study

Nutrients ◽  
2020 ◽  
Vol 12 (2) ◽  
pp. 589 ◽  
Author(s):  
Rebecca Hoban ◽  
Supriya Khatri ◽  
Aloka Patel ◽  
Sharon L. Unger
Keyword(s):  
Retrospective Study ◽  
Small Bowel ◽  
Length Of Stay ◽  
Intestinal Atresia ◽  
Central Line ◽  
Hospital Outcomes ◽  
Donor Milk ◽  
Small Bowel Atresia ◽  
Bowel Atresia ◽  
Mother’S Own Milk

Background: Mother’s own milk (MOM) improves in-hospital outcomes for preterm infants. If unavailable, donor milk (DM) is often substituted. It is unclear if DM vs. formula to supplement MOM is associated with improved in-hospital outcomes in term/late preterm surgical infants with gastroschisis or intestinal atresia. Methods: This retrospective study included infants born ≥33 weeks gestational age (GA) with a birth weight of >1500 g who were admitted to a quaternary neonatal intensive care unit (NICU). Using Chi square and Mann-Whitney u testing, we compared hospital outcomes (length of stay, parenteral nutrition and central line days) before and after a clinical practice change to offer DM instead of formula in this surgical population. Results: Baseline characteristics were similar between eras for the 140 infants (median GA 37 weeks). Fewer infants in DM era were receiving formula at discharge (50.0% vs. 31.4%, p = 0.03). In sub-analyses including only small bowel atresia and gastroschisis infants, the median length of stay (35 vs. 25, p < 0.01) and the central line days (28 vs. 20, p < 0.01) were lower in the DM era. Conclusion: In this retrospective study, offering DM instead of formula was associated with less formula feeding at discharge, and in infants with gastroschisis or small bowel atresia, shorter length of stay and central line days.

scholarly journals Double trouble with triple bubble: A rare case of double small bowel atresia in a neonate

2021 ◽  
Vol 64 ◽  
pp. 101745
Author(s):  
R. Ramanuja Naidu ◽  
Mohd Razin Hassan ◽  
Wan Mohd Ruzaimie Wan Mohamad Noor ◽  
Mohd Tarmizi Md Nor
Keyword(s):  
Small Bowel ◽  
Rare Case ◽  
Small Bowel Atresia ◽  
Bowel Atresia

scholarly journals Agenesis of the dorsal mesentery presenting in an adolescent

2013 ◽  
Vol 17 (1) ◽  
pp. 16-18 ◽  
Author(s):  
Anith Chacko ◽  
Farzanah Ismail ◽  
Sirajudeen Ellemdin
Keyword(s):  
Acute Pancreatitis ◽  
Case Report ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Rare Occurrence ◽  
Jejunal Atresia ◽  
Proximal Small Bowel ◽  
Small Bowel Atresia ◽  
Bowel Atresia ◽  
Dorsal Mesentery

Agenesis of the dorsal mesentery is a rare occurrence that usually presents in children. It is associated with proximal small bowel malrotation as well as high jejunal atresia with discontinuity of the small bowel. We present a case report of an adolescent presenting with clinical features of proximal small bowel obstruction (confirmed on imaging) as well as acute pancreatitis. At laparotomy, he was found to have no dorsal mesentery, without small bowel atresia, and the duodenum was fixed to the posterior abdominal wall. The patient recovered well and remained symptom-free.

scholarly journals Colonic Atresia: Association with Other Anomalies

2016 ◽  
Vol 5 (4) ◽  
pp. 47 ◽  
Author(s):  
Khaled M. El-Asmar ◽  
Mohammed Abdel-Latif ◽  
Abdel-Hamid A. El-Kassaby ◽  
Mohamed H. Soliman ◽  
Mosad M. El-Behery
Keyword(s):  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Primary Anastomosis ◽  
Intestinal Atresia ◽  
Good Prognosis ◽  
Type I ◽  
Colonic Atresia ◽  
Type Iv ◽  
Low Incidence ◽  
Bowel Atresia

Background: Colonic atresia (CA) is a rare form of congenital intestinal atresia. Although CA may be isolated, it is more commonly reported in literature in association with other congenital anomalies.Materials and Methods: This study is a review of prospectively collected data of all the patients with colonic atresia presented to our center (Ain Shams University) during 2008 to 2016.Results: Twelve patients were enrolled in this study. The atresia was of type I in one case, type II in four cases, type IIIa in six cases, type IV in one case. These cases accounted for 4.9 % of intestinal atresias managed in our center during the same period. Five cases were isolated CA, while the other seven cases had associated abdominal congenital anomalies (exomphalos, Hirschsprung’s disease, imperforate anus, closing gastroschisis, colonic duplication, and multiple small bowel atresia in two cases). The management in ten cases was by staged procedure with creation of a temporary stoma initially, while primary anastomosis was established in two cases. We had two cases with delayed presentations, one missed diagnosis, and three mortalities in this series.Conclusions: The low incidence of CA may result in delay in the diagnosis and management. Hirschsprung’s disease should be excluded in every case of colonic atresia. Early diagnosis and proper surgical management is essential for good prognosis.

scholarly journals Colonic and type IV jejunal atresias with apple-peel bowel segment as the content of right inguinal hernia: A case report

2021 ◽  
Vol 10 ◽  
pp. 35
Author(s):  
Deepa P Makhija ◽  
Abhijit Kumar ◽  
Rahul K Gupta ◽  
Beejal V Sanghvi ◽  
Kedar P Mudkhedkar ◽  
...  
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Case Presentation ◽  
Jejunal Atresia ◽  
Colonic Atresia ◽  
Type Iv ◽  
Bowel Segment ◽  
Apple Peel

Background: Colonic atresia is an uncommon entity. It may be associated with multiple anomalies. Case Presentation: We present a case, which was initially suspected to be jejunal atresia, but was found to have colonic atresia as well intra-operatively. The associated jejunal atresia with apple-peel configuration was present as the content of inguinal hernia. Conclusion: This case report highlights the rarity of the condition and the postoperative issues in the management of such patients.

scholarly journals A case of sigmoid volvulus in an unexpected demographic

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Mohammad Saba ◽  
Joshua Rosenberg ◽  
Gregory Wu ◽  
Gudata Hinika
Keyword(s):  
Abdominal Pain ◽  
Severe Pain ◽  
Rare Case ◽  
Young Female ◽  
Sigmoid Volvulus ◽  
Case Presentation ◽  
Operative Complications ◽  
History Of ◽  
Male Sex ◽  
Emergent Laparotomy

Abstract Background A sigmoid volvulus occurs when a segment of the colon twists upon its mesentery. This infliction is associated with old age, multiple co-morbidities, and the male sex. We present a rare case of sigmoid volvulus that occurred in a healthy young female. Case presentation A 28-year-old female presented with a one week history of constipation and abdominal pain. Her symptoms suddenly worsened and became associated with vomiting and severe pain. A focused history taking and physical examination showed peritoneal signs that led to timely diagnostic imaging to be implemented. Computed tomography (CT) of the abdomen was consistent with sigmoid volvulus. Our patient underwent emergent laparotomy with a sigmoidectomy and recovered with no post-operative complications. Conclusion This case report emphasizes the importance of clinicians maintaining a sigmoid volvulus as a rare, yet important differential when approaching abdominal pain in young healthy patients.

scholarly journals A rare case of Pseudomonas aeruginosa bacteremia in a newborn with 58 perforations in the small intestine

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yuanyuan Xu ◽  
Danqun Jin ◽  
Huan Ye ◽  
Youfeng Liang
Keyword(s):  
Pseudomonas Aeruginosa ◽  
Small Intestine ◽  
Early Detection ◽  
Abdominal Surgery ◽  
Rare Case ◽  
Venous Blood ◽  
Case Presentation ◽  
Systemic Infections ◽  
Emergency Abdominal Surgery ◽  
Timely Treatment

Abstract Background Community-acquired infections of Pseudomonas aeruginosa (P. aeruginosa) occur very rarely. Case presentation P. aeruginos was detected in cultures of venous blood and peritoneal exudate of a newborn with 58 perforations in the small intestine. Intravenous administration of imipenem cilastratin sodium and emergency abdominal surgery were performed. The patient fully recovered and was discharged 17 days after the operation. Conclusions Mild symptoms of systemic infections in newborns may delay the diagnosis. Early detection and timely treatment are the key to improved prognosis.

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