Congenital segmental dilatation of intestine

Background: Congenital segmental dilatation of intestine is a rare entity characterized by a localized dilated segment of the intestine. It manifests as neonatal intestinal obstruction. Occurrence with another surgical anomaly may masquerade it and complicate the treatment course. Case Presentation: A 1-day-old male neonate with anorectal malformation underwent colostomy as first stage of the treatment. The stoma did not function postoperatively. At repeat surgery, congenital segmental dilatation of the ileum, with slightly different morphology, was found. Resection of the lesion and ileostomy were formed. Postoperative course remained uneventful. Conclusion: Congenital segmental dilatation of intestine may be missed at initial surgery. Complete surgical resection is curative.

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Congenital Segmental Intestinal Dilatation: A Clinical Dilemma

Journal of Neonatology ◽

10.1177/09732179211040663 ◽

2021 ◽

pp. 097321792110406

Author(s):

Bhavya Kukreja ◽

Ajay Prakash Mehta ◽

Harsh Wardhan ◽

Bhawna Sachdeva Narula ◽

Poonam Sidana

Keyword(s):

Differential Diagnosis ◽

Neonatal Period ◽

Case Reports ◽

Rare Condition ◽

Rare Clinical Entity ◽

Preterm Baby ◽

Neonatal Intestinal Obstruction ◽

Segmental Dilatation ◽

Clinical Dilemma ◽

Segmental Dilatation Of Intestine

Congenital segmental dilatation of intestine is a rare clinical entity encountered in neonates with very few case reports from world over. It usually presents with symptoms of partial or total obstruction in neonatal period or infancy. We report a case of a preterm baby with segmental dilatation of intestine which was managed surgically. Diagnosis was confirmed intraoperatively as well as histologically. Consideration of this entity in differential diagnosis of neonatal intestinal obstruction may enable for better understanding and more reporting of this rare condition.

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Segmental Dilatation of Intestine: A Case Report and Review of the Literature

European Journal of Pediatric Surgery ◽

10.1055/s-2008-1063526 ◽

1993 ◽

Vol 3 (02) ◽

pp. 118-120 ◽

Cited By ~ 23

Author(s):

E. Balik ◽

C. Taneli ◽

M. Yazici ◽

M. Demircan ◽

Ö. Herek

Keyword(s):

Case Report ◽

Review Of The Literature ◽

Segmental Dilatation ◽

Segmental Dilatation Of Intestine

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Pancreatic tissue in congenital segmental dilatation of intestine: case presentation and recommendation for treatment

Journal of Pediatric Surgery ◽

10.1016/j.jpedsurg.2008.06.043 ◽

2008 ◽

Vol 43 (11) ◽

pp. e9-e11 ◽

Cited By ~ 1

Author(s):

Bazil Ricardo Brown ◽

Iain Hennessey ◽

Nicholas Lansdale ◽

Gillian Humphrey

Keyword(s):

Pancreatic Tissue ◽

Case Presentation ◽

Segmental Dilatation ◽

Segmental Dilatation Of Intestine

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Segmental dilatation of the ileum

Journal of Pediatric Surgery ◽

10.1016/0022-3468(77)90303-7 ◽

1977 ◽

Vol 12 (1) ◽

pp. 103-112 ◽

Cited By ~ 45

Author(s):

Irene M. Irving ◽

James Lister

Keyword(s):

Segmental Dilatation

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Varied Presentation of Congenital Segmental Dilatation of the Intestine in Neonates: Report of Three Cases

Journal of Neonatal Surgery ◽

10.21699/jns.v5i4.431 ◽

2016 ◽

Vol 5 (4) ◽

pp. 55 ◽

Cited By ~ 10

Author(s):

Binod Kumar Rai ◽

Bilal Mirza ◽

Imran Hashim ◽

Muhammad Saleem

Keyword(s):

Intestinal Obstruction ◽

Anorectal Malformation ◽

Developmental Anomaly ◽

Abdominal Radiograph ◽

Abdominal Drain ◽

The Third ◽

Neonatal Intestinal Obstruction ◽

Segmental Dilatation ◽

Congenital Pouch Colon ◽

Pouch Colon

Congenital segmental dilatation (CSD) of the intestine is a rare developmental anomaly characterized by sharply demarcated dilatation of a gastrointestinal segment and may present with intestinal obstruction. We report three cases of CSD of the intestine in neonates with varied presentation. First patient was mistaken as pneumoperitoneum on abdominal radiograph, which led to initial abdominal drain placement. The 2nd patient was a case of anorectal malformation associated with congenital pouch colon (CPC) and CSD of ileum; and the third case presented as neonatal intestinal obstruction and found to have CSD of ileum. All the patients were successfully managed in our department.

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