A 2-day-old female neonate with the clinical picture of proximal small bowel atresia, on exploration, turned out to have intestinal atresia of a rare variety, i.e., a near-total jejuno-ileal atresia. The baby had total small bowel length of less than 10 cm. She survived for 3 months on enteral feeding after end-to-back duodeno-ileal anastomosis and thereafter succumbed to septicemia. The case is presented for it's extreme rarity and consideration of this extreme form of small bowel atresia as an offshoot of the existing classifications of jejuno-ileal atresia since it has dismal prognosis and presents as a management challenge even today.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3775132 | PMC |
| http://dx.doi.org/10.4103/2249-4847.116413 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Antibiotic Management After Neonatal Enteric Operations in US Children's Hospitals.
J Pediatr Surg
November 2024
University of California San Diego, School of Medicine, San Diego, CA, USA; Rady Children's Hospital, San Diego, CA, USA. Electronic address:
Background: There are few evidence-based guidelines for perioperative antibiotic management in neonates who undergo enteric operations. We sought to assess antibiotic administration practices in a large population of patients who underwent operations involving enteric anastomoses and evaluate the incidence of postoperative infection and other outcomes based on antibiotic approach.
Methods: The Pediatric Health Information Systems database was queried for patients who underwent repair of esophageal, duodenal or jejuno-ileal atresia in 2021.
Midgut Atresia: Diagnostic and Management Challenges From Northern Tanzania.
Clin Med Insights Pediatr
December 2022
Kilimanjaro Christian Medical University College, Faculty of Medicine, Moshi, Tanzania.
Intestinal obstruction is one of the most common surgical emergencies in the neonatal period. Early diagnosis is vital for proper management and good outcome. Intestinal obstruction can be divided into high, for example, duodenal atresia and jejunal atresia, or low, for example, ileal atresia, colonic atresia, and Meckel's diverticulum.
View Article and Find Full Text PDFMid-trimester dilated fetal bowel leading to diagnosis of interstitial duplication 46,XX,dup(8)(q21.13q21.2) associated with extensive neonatal jejuno-ileal atresia.
Radiol Case Rep
November 2022
Divisions of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, State University of New York (SUNY), Downstate Health Sciences University, 450 Clarkson Ave, Box 24, Brooklyn, NY, USA.
Small bowel atresia constitutes congenital obstruction of the lumen of the duodenum, jejunum or ileum, and is one of the most common causes of neonatal bowel obstruction with a reported incidence of between 1.3 and 2.8 per 10,1000 live births.
View Article and Find Full Text PDFBiliary atresia associated with small-intestine atresia: A condition of high morbidity and mortality.
Asian J Surg
October 2022
The Department of Pediatric Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan. Electronic address:
A rare case of jejunal atresia.
Int J Surg Case Rep
January 2022
Dept of Paediatric surgery, Indira Gandhi Institute of Child Health, Bengaluru, Karnataka, India. Electronic address:
Introduction: Intestinal atresia more common in the small bowel, apart from large intestine. Jejunal atresia characterized by complete occlusion of the intestinal lumen, is a rare congenital anomaly occurring in 1 in 12,000 live births.
Importance: The jejunal atresia can be single or multiple occurring anywhere from the ligament of Treitz to the jejuno-ileal junction, requiring immediate surgical attention to prevent mortality and morbidity among these neonates.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!