scholarly journals Intestinal atresia: histopathologist view

2020 ◽  
Vol 8 (1) ◽  
pp. 226
Author(s):  
Shweta Shweta ◽  
Kim Vaiphei
Keyword(s):  
Intestinal Obstruction ◽  
Intestinal Atresia ◽  
Duplication Cyst ◽  
Type Ii ◽  
Ileal Atresia ◽  
Indian Literature ◽  
Histological Features ◽  
Mucosal Edema ◽  
Duodenal Web ◽  
Submucosal Edema

Background: Intestinal atresia forms one of a common cause for intestinal obstruction in neonates. There is a debate about its pathogenesis and many theories have been suggested. Studies regarding its clinical and histomorphological features are less in Indian literature. The present study aimed to determine the clinical and histomorphological features of cases of intestinal atresia.Methods: Thirty-nine cases of intestinal atresia were studied both retrospectively (twenty-six) and prospectively (thirteen) over a period of two years. Their clinical and histomorphological features were studied.Results: Intestinal obstruction was most common clinical diagnosis. Type II atresia was most common. Ileal atresia was highest in number. Associated congenital anomalies noted were situs inversus with splenunculi, patent vitelo-intestinal duct, duplication cyst, Meckel’s diverticulum, ileocecal web, duodenal web and omphalocele. Histological features such as inspissated meconium, calcification, ulceration, fibrosis, thick-walled vessels, edema were noted.Conclusions: Findings such as mucosal edema, congestion, ulceration, submucosal edema, thick-walled blood vessels, fibrosis, hemorrhage, transmural ischemia, calcification, suggest that an intra vascular accident may be responsible for origin of the atresia.

scholarly journals Features of the small intestinal atresia clinical manifestation in newborns in the first minutes of their life

2021 ◽  
pp. 47-52
Author(s):  
O.K. Sliepov ◽  
◽  
M.Iu. Migur ◽  
O.P. Ponomarenko ◽  
K.L. Znak ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Clinical Signs ◽  
Clinical Manifestations ◽  
Intestinal Atresia ◽  
Ileal Atresia ◽  
Gastric Stasis ◽  
Abdominal Bloating ◽  
Significant Difference ◽  
Different Types ◽  
Small Intestinal

Clinical signs of small bowel atresia, which are widely described in the literature, usually develop after the first day of life. Studies on the clinical manifestations of intestinal atresia in newborns in the first minutes of their lives are still lacking. Purpose — to identify clinical signs of different types of intestinal atresia which can be detected by physical examination of the newborn, immediately after birth. Materials and methods. A retrospective study of 77 newborns with congenital small intestinal obstruction (SIO) who underwent surgical management at the Neonatal Surgery Center for Congenital Malformations and their Rehabilitation SI «Institute of Pediatrics, Obstetrics and Gynecology named after acad. E.M. Lukyanova of the NAMS of Ukraine» was conducted. The clinical manifestations of SIO in patients with duodenal (n=44), jejunal (n=14) and ileal (n=19) atresia were studied and a statistical analysis was performed. Results. There was no significant difference in the volume of gastric stasis, abdominal bloating and meconium discharge in patients with different types of duodenal obstruction (P>0.05). It was found that patients with duodenal and jejunal obstruction, immediately after birth, have a significantly higher volume of gastric stasis (38.0±23.9 ml and 42.3±20.0 ml, respectively) compared with patients who had ileal atresia (14.7±12.8 ml), (P<0.05). There were no significant differences in the incidence of abdominal bloating and meconium discharge (P>0.05). Conclusions. Duodenal and jejunal atresia are associated with excessive gastrostasis, but meconium discharge may be normal. Abdominal bloating always occurs in duodenal atresia and may be absent in jejunal and ileal atresia. In patients with ileal atresia, there may be no signs of intestinal obstruction immediately after birth. Level of evidence. Level III. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of an participating institution. The informed consent of the child's parents was obtained from the studies. No conflict of interest was declared by the authors. Key words: atresia, small intestine, clinical manifestations, newborns.

scholarly journals A Rare Cause of Intestinal Obstruction in Infants: Ileum Duplication Cyst and Literature Review

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Mehmet Serif Arslan ◽  
Erol Basuguy ◽  
Hikmet Zeytun ◽  
Serkan Arslan ◽  
Bahattin Aydogdu ◽  
...  
Keyword(s):  
Literature Review ◽  
Intestinal Obstruction ◽  
Male Patient ◽  
Pediatric Surgery ◽  
Clinical Symptoms ◽  
Abdominal Distension ◽  
Duplication Cyst ◽  
Oral Feeding ◽  
Imaging Method ◽  
History Of

Cases of neonatal gastrointestinal system (GIS) obstruction are quite complex for pediatric surgery clinics. A rare cause of intestinal obstruction is the duplication cyst (DC). A three-day-old male patient presented at our clinic with a history of abdominal distension and bilious vomiting on the second day following birth. Although pathology had not yet been determined from observation and examination, surgery was performed when the patient could not tolerate oral feeding. An ileal DC forming an incomplete obstruction was observed. Ileoileal anastomosis was performed on the patient. Because DCs can present with different clinical symptoms, it is quite difficult to diagnose them in neonate patients. Lacking an imaging method that can provide an exact diagnosis, the diagnostic laparotomy is a suitable approach for both diagnosis and treatment to avoid delays in treatment.

scholarly journals Closed Gastroschisis

2017 ◽  
Vol 6 (3) ◽  
pp. 61 ◽  
Author(s):  
Mohammed Abdel-Latif ◽  
Mohamed Hisham Soliman ◽  
Khaled Mohaned El-Asmar ◽  
Mohamed Abdel-Sattar ◽  
Ibrahim M Abdelraheem ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Short Bowel Syndrome ◽  
Intestinal Atresia ◽  
Rare Entity ◽  
Short Bowel ◽  
Neonatal Intestinal Obstruction

Closed gastroschisis is a rare entity usually associated with intestinal atresia and short bowel syndrome. We report two cases of closed gastroschisis presenting with neonatal intestinal obstruction and para-umbilical evisceration without an abdominal defect.

scholarly journals Duodenal Web and Pancreas Divisum Causing Pancreatitis in an Adult

HPB Surgery ◽  
1994 ◽  
Vol 7 (3) ◽  
pp. 231-235 ◽  
Author(s):  
J. Kollias ◽  
J. Toouli
Keyword(s):  
Acute Pancreatitis ◽  
Intestinal Obstruction ◽  
Clinical Characteristics ◽  
Pancreas Divisum ◽  
Recurrent Acute Pancreatitis ◽  
The Third ◽  
Pancréas Divisum ◽  
Duodenal Web

Duodenal malformations are the third commonest cause of intestinal obstruction in infants1. A spectrum of intrinsic obstructive lesions within the duodenum ranges from atresia to congenital bands2. Rarely, duodenal malformations may first present in adulthood. Less than 70 cases of duodenal web presenting in an adult have been reported in the literature. In 10 patients the presentation was associated with pancreatitis. We report a case of congenital duodenal web associated with pancreas divisum which first presented in an adult with the clinical characteristics of recurrent acute pancreatitis.

scholarly journals Ileal duplication cyst: a rare cause of intestinal obstruction in infants

2020 ◽  
Vol 7 (3) ◽  
pp. 713
Author(s):  
Aniruddha Basak ◽  
Arindam Ghosh ◽  
Prafulla Kumar Mishra
Keyword(s):  
Intestinal Obstruction ◽  
Clinical Symptoms ◽  
Primary Anastomosis ◽  
Duplication Cyst ◽  
Imaging Method ◽  
Diagnostic Dilemma ◽  
X Ray ◽  
Post Operative Period ◽  
Ileal Duplication

Ileal duplication cyst (IDC) is a rare congenital anomaly where there is an abnormal portion of intestine attached to or intrinsic with the normal bowel. A 6-month-old male child presented with obstipation and bilious vomiting at emergency. X-ray abdomen showed multiple air fluid level suggestive of intestinal obstruction. Laparotomy was performed. Diagnosis of IDC was made and resection with primary anastomosis was done. Post-operative period was uneventful, and patient did well during 3 month follow-up checkup. IDC is a rare cause of intestinal obstruction which can present with different clinical symptoms posing a diagnostic dilemma. Diagnostic laparotomy is a suitable approach for both diagnosis and treatment to avoid delays in treatment where imaging method is unavailable for exact diagnosis.

scholarly journals Role of Bishop–Koop Procedure for Jejunal and Proximal Ileal Atresia

2020 ◽  
Vol 8 (4) ◽  
pp. 31
Author(s):  
Anand Pandey ◽  
Gurmeet Singh ◽  
Gaurav Shandilya ◽  
Archika Gupta ◽  
Jiledar Rawat ◽  
...  
Keyword(s):  
Complication Rate ◽  
Adverse Outcomes ◽  
Proximal Segment ◽  
Type Ii ◽  
Ileal Atresia ◽  
Type Iii ◽  
Jejunoileal Atresia ◽  
Operation Techniques ◽  
The Mean ◽  
Medical University

Background: This study was undertaken to review the Bishop–Koop procedure as a treatment option with a grossly dilated proximal segment in jejunal and proximal ileal atresia.Materials and Methods: This was a retrospective cohort study conducted from January 2012 to June 2018 in the Department of Pediatric Surgery at King George's Medical University, Lucknow, India. The outcome, complication rate, and the follow-up study for postoperative adverse outcomes were assessed.Results: Thirty-two neonates underwent Bishop–Koop procedure. The mean age at presentation was 4.37  2.3 days. The male (n=22) to female (n=10) ratio was 2.2:1. Sixteeen had jejunal (type II-9, type III- 7), and 16 (type II-6, type III-10) had proximal ileal atresia. The mean duration of the hospital stay was 13.03  5.7 days. Oral feeds were initiated by the 7th postoperative day. In our study, the complication rate was 31.25% (n=10) and mortality rate was 37.5% (n=12).Conclusions: Bishop–Koop procedure appears to be a technically efficient method in desperate cases of jejunoileal atresia with a grossly dilated proximal segment, although more extensive studies may be needed to compare Bishop–Koop procedure and other operation techniques.

Type IV terminal ileal atresia with undiagnosed mid-ileal duplication cyst: A very rare case

2018 ◽  
Vol 7 (1) ◽  
pp. 46
Author(s):  
Sudhir Singh ◽  
Digamber Chaubey ◽  
JD Rawat ◽  
Gurmeet Singh
Keyword(s):  
Rare Case ◽  
Duplication Cyst ◽  
Ileal Atresia ◽  
Type Iv ◽  
Ileal Duplication
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