CONGENITAL COLONIC ATRESIA PRESENTING AS PNEUMOPERITONEUM: A RARE CLINICAL ENTITY

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.

scholarly journals Feasibility of primary anastomosis for right-sided colonic atresia: A case report

2021 ◽  
Vol 10 ◽  
pp. 46
Author(s):  
Muhammad Shamil Suhaimi ◽  
Mohd Yusran Othman ◽  
Khalilah Alhuda Kamilen
Keyword(s):  
Case Report ◽  
Primary Anastomosis ◽  
Distal Colon ◽  
Postoperative Recovery ◽  
Ascending Colon ◽  
Case Presentation ◽  
Male Baby ◽  
Colonic Atresia ◽  
Feasible Option

Background: Colonic atresia (CA) is a rare cause of congenital intestinal obstruction. The management of CA is challenging because of its rarity. Case Presentation: We present a case of right-sided CA in a term male baby weighing 3006 gm, without any other comorbidity. Type 1 atresia was seen at ascending colon and upon decompression, a reasonable caliber was achieved for a primary anastomosis following distal Cheatle slit and proximal tapering. Postoperative recovery was uneventful. Conclusion: Primary anastomosis is a feasible option in right-sided CA when no major comorbidity is present and a normal distal colon with reasonable caliber is certain.

Intrauterine Intussusception Presenting as Fetal Ascites and Meconium Peritonitis

2021 ◽  
Vol 5 (0-2) ◽  
pp. 18
Author(s):  
Khalilah Alhuda Binti Kamilen ◽  
Mohd Yusran Othman
Keyword(s):  
Primary Anastomosis ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Intestinal Atresia ◽  
Premature Baby ◽  
Abdominal Radiograph ◽  
Meconium Peritonitis ◽  
Ileal Perforation ◽  
Intraabdominal Sepsis ◽  
Intrauterine Intussusception

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

Segmental absence of intestinal musculature with intestinal atresia and ileal perforation

Pathology ◽  
2009 ◽  
Vol 41 (6) ◽  
pp. 596-598 ◽  
Author(s):  
Sonal Jain ◽  
Neelam Wadhwa ◽  
Sahil Munjal
Keyword(s):  
Intestinal Atresia ◽  
Ileal Perforation ◽  
Intestinal Musculature

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 Congenital pouch colon with colonic atresia- An unusual embryological association: A case report

2021 ◽  
Vol 10 ◽  
pp. 33
Author(s):  
Praveen Mathur ◽  
Sharanabasappa Gubbi ◽  
Aadil Farooq ◽  
Priyanka Mittal ◽  
Gunjan Sharma
Keyword(s):  
Case Report ◽  
Anorectal Malformation ◽  
English Literature ◽  
Abdominal Distension ◽  
Case Presentation ◽  
Male Baby ◽  
Colonic Atresia ◽  
Congenital Pouch Colon ◽  
Pouch Colon

Background: Congenital pouch colon (CPC) is a rare variant of high anorectal malformation. More and more varied associations of CPC with other entities are being added to the literature. Case presentation: A 1-day-old male baby presented to the emergency room with marked abdominal distension and absent anal opening. On exploration, the baby was found to have CPC (Type 2) with colonic atresia. This association has not been reported in English literature. Conclusion: This is a report of a case of type 2 CPC with colonic atresia. To the best of our knowledge, such an association has not been reported so far. The final embryological outcome is dictated both by the topography and timing of vascular insult.

Colonic atresia: surgical management and outcome

2001 ◽  
Vol 17 (8) ◽  
pp. 631-635 ◽  
Author(s):  
İbrahim Karnak ◽  
Arbay O. Ciftci ◽  
Mehmet Emin Şenocak ◽  
F. Cahit Tanyel ◽  
Nebil Büyükpamukç
Keyword(s):  
Surgical Management ◽  
Colonic Atresia

scholarly journals Congenital Neonatal Intestinal Obstruction: Retrospective Analysis at Tertiary Care Hospital

2016 ◽  
Vol 5 (4) ◽  
pp. 49 ◽  
Author(s):  
Vijay Singh ◽  
Manish Pathak
Keyword(s):  
Intestinal Obstruction ◽  
Clinical Presentation ◽  
Tertiary Care ◽  
Intestinal Atresia ◽  
Duodenal Atresia ◽  
Care Hospital ◽  
Abdominal Radiography ◽  
Colonic Atresia ◽  
Neonatal Intestinal Obstruction ◽  
Overall Mortality

Background: The purpose of this study is to analyze the etiology, clinical presentation and outcome of neonatal intestinal obstruction at our institute.Materials and Methods: The medical record of all the patients, presented with intestinal obstruction in neonatal period during 2014 and 2015 was reviewed retrospectively for etiology, clinical features, investigations, management, and outcome.Results: Out of total 53 cases of neonatal intestinal obstruction, 27 were of intestinal atresia (9 cases (17%) were of duodenal atresia, 7 (13%) were of jejunal atresia and 8 (13%) were ileal atresias and 3 cases were found with colonic atresia); 7 were malrotation, 17 were Hirschsprung’s disease (HD). All the patients were investigated with abdominal radiography and sonography. All patients were managed surgically. Overall mortality was 10/53 (18.8%). Out of 27 cases of atresia, 9 patients died (33% mortality). Septicemia was the cause of death in 7 patients (58.3%). Anastomotic leak was present in one mortality case.Conclusion: The most common cause of neonatal intestinal obstruction is atresia. Duodenal atresia was the most common atresia in our study followed by ileal atresia. Postoperative complications like septicemia led to most of deaths in our series. Septicemia, wound infection, hypothermia, prematurity need special attention for survival of neonates.

scholarly journals Growing Teratoma Syndrome

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Anna Scavuzzo ◽  
Zael Arturo Santana Ríos ◽  
Nancy Reynoso Noverón ◽  
Miguel Angel Jimenez Ríos
Keyword(s):  
Germ Cell ◽  
Surgical Resection ◽  
Surgical Management ◽  
Systemic Chemotherapy ◽  
Intraoperative Complications ◽  
Tumour Markers ◽  
Clinical Entity ◽  
Optimal Management ◽  
Rare Clinical Entity ◽  
Growing Teratoma Syndrome

Growing teratoma syndrome (GTS) is a rare clinical entity, which presents with enlarging teratomas masses of the retroperitoneum or other locations, occurring during or after systemic chemotherapy for the treatment of nonseminomatous germ cell of the testis (NSGCT), with normalised tumour markers. Awareness of this syndrome is necessary in order to prevent unnecessary chemotherapy and allow optimal management. Prognosis is excellent after the excision of these tumors, but surgery has to be as complete as possible. Surgical resection of bulky GTS lesions is technically challenging; intraoperative complications may occur; that is, why the treatment must not be delayed. Our experience in the surgical management of these lesions is reviewed in the following work.

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