Segmental absence of intestinal musculature with intestinal atresia and ileal perforation

Intussusception is a well-known cause of intestinal obstruction in children. Its occurrence in fetus as an intrauterine incidence is extremely rare and poses a diagnostic difficulty. Intrauterine intussusception may result in intestinal atresia once the gangrenous segment resorbed. However, a very late occurrence of intussusception just prior to delivery may present as meconium peritonitis. We are reporting a case of premature baby who was born at 35 weeks gestation via emergency caesarean for breech in labour. Routine scan 4 days prior to the delivery showed evidence of fetal ascites. She was born with good Apgar Score and weighed 2.5kg. Subsequently she developed respiratory distress syndrome requiring mechanical ventilation. She passed minimal meconium once after birth then developed progressive abdominal distension and vomiting. Abdominal radiograph on day 4 of life revealed gross pneumoperitoneum and bedside percutaneous drain was inserted to ease the ventilation. Upon exploratory laparotomy, a single ileal perforation was seen 20cm from ileocecal junction with an intussusceptum was seen in the distal bowel. Gross meconium contamination and bowel edema did not favour the option of primary anastomosis, thus stoma was created. Reversal of stoma was performed a month later and she recovered well. Fetus with a complicated intrauterine intussusception may present with fetal ascites and their postnatal clinical and radiological findings need to be carefully assessed for evidence of meconium peritonitis; in which a timely surgical intervention is required to prevent the sequelae of prolonged intraabdominal sepsis in this premature baby.International Journal of Human and Health Sciences Supplementary Issue-2: 2021 Page: S18

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CONGENITAL COLONIC ATRESIA PRESENTING AS PNEUMOPERITONEUM: A RARE CLINICAL ENTITY

10.36106/ijar/2410117 ◽

2021 ◽

pp. 6-7

Author(s):

Ravikiran Kandalgaonkar ◽

Abhishek Shetty

Keyword(s):

Surgical Management ◽

Intestinal Atresia ◽

Common Type ◽

Abdominal Distention ◽

Rare Clinical Entity ◽

Ascending Colon ◽

Ischemic Necrosis ◽

Ileal Perforation ◽

Male Baby ◽

Colonic Atresia

Introduction:Colonic Atresia is the least common type of Intestinal Atresia which occurs as a result of ischemic necrosis of a segment of large intestine.It presents with abdominal distention,bilious vomiting and failure to pass meconium.Perforation leads to peritonitis and sepsis Case Report:We describe a 3 day old male baby presenting with Colonic Atresia type IIIa and pneumoperitoneum and his surgical management Conclusion:In conclusion, Colonic Atresia is managed by either by colostomy or primary anastomosis.Terminal ileostomy,as in this case is done when there is Ascending Colon atresia with distal ileal perforation.

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Surgical Management of Atresia Ani in a Crossbred Calf

THE INDIAN JOURNAL OF VETERINARY SCIENCES AND BIOTECHNOLOGY ◽

10.21887/ijvsbt.15.2.23 ◽

2019 ◽

Vol 15 (02) ◽

pp. 81-82

Author(s):

Madan Pal ◽

Kashi Ram ◽

Chander Pal Garhwal ◽

Virender .

Keyword(s):

Body Weight ◽

Weight Gain ◽

Body Weight Gain ◽

Present Report ◽

Genetic Disorders ◽

Economic Loss ◽

Intestinal Atresia ◽

Congenital Defect ◽

Surgical Correction ◽

Anal Opening

Atresia ani is a congenital defect that describes the absence of a normal anal opening. It is fatal unless a surgical correction is carried out to provide an anal opening. In female, the rectum may break through the vagina, forming a rectovaginal fistula permitting defecation via the vulva. Surgical treatment of atresia ani is indicated to save the animal’s life and to improve body weight gain. Intestinal atresia has been reported as a congenital defect in all species of domestic animals (Gass and Tibboel, 1980). Atresia ani may be caused by genetic disorders (chromosomes or transgenesis), environmental factors, or a combination of both (Cassini et al., 2005). Monsang et al. (2011) reported a case of double vulva with atresia ani in a crossbred calf. Atresia ani should be treated by a surgical operation to solve the problem, improve body weight gain, and reduce economic loss. The present report records a case of atresia ani in a crossbred cow-calf and its successful surgical correction.

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Perioperative Challenge in Anesthetic and Pain Management in a Case of Hepatitis E and Typhoid Co-infection with Acute Liver Failure and Ileal Perforation: a Case Report and Review of Literature

Indian Journal of Surgery ◽

10.1007/s12262-021-02977-x ◽

2021 ◽

Author(s):

Kailash Chand Kurdia ◽

Divij Jayant ◽

Charan Singh ◽

Arunanshu Behera

Keyword(s):

Case Report ◽

Pain Management ◽

Liver Failure ◽

Acute Liver Failure ◽

Hepatitis E ◽

Review Of Literature ◽

Ileal Perforation

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Causes of acute peritonitis in 1188 consecutive adult patients in Ghana

Tropical Doctor ◽

10.1258/0049475054036788 ◽

2005 ◽

Vol 35 (2) ◽

pp. 84-85 ◽

Cited By ~ 7

Author(s):

Michael Ohene-Yeboah

Keyword(s):

Acute Appendicitis ◽

Prospective Study ◽

Teaching Hospital ◽

Communicable Diseases ◽

Adult Patients ◽

Emergency Unit ◽

Ileal Perforation ◽

Acute Peritonitis ◽

Generalized Peritonitis ◽

Previous Series

In a five-year prospective study,1188 consecutive adult patients were admitted and treated for acute generalized peritonitis at the Surgical Emergency Unit of the Komfo Anokye Teaching Hospital, Kumasi, Ghana. Appendicitis and typhoid ileal perforation were the commonest causes, occurring in 43.1% and 35.1% of patients, respectively. Other conditions (gastroduodenal perforations, ruptured abscesses, traumatic bowel perforations and amoebic colonic perforations) accounted for fewer than 25% of cases. This paper notes that acute appendicitis and typhoid perforation remain the leading causes of peritonitis in Ghana. Compared with previous series, the importance of appendicitis in acute peritonitis has diminished. The complications of communicable diseases now cause peritonitis more commonly than 35 years ago. This may reflect deteriorating conditions of sanitation and housing during the intervening period.

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