Intestinal obstruction due to dual gastrointestinal atresia in infants: diagnosis and management of 3 cases

BMC Gastroenterology

Jun-cheng Liu²  Zhi-chong Zhang²  Zhi-hai Zhong²  Li-e Huang²  Anna Kan¹  Hong Jiang²  Hua-dong Chen² 

[1] Hepatobiliary Surgery Department of the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China;Pediatric Surgery Department of the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China

关键词: Infant;    Intestinal obstruction;    Congenital;    Gastrointestinal diaphragm;    Type I Atresia;   

Others  :  855124
DOI  :  10.1186/1471-230X-14-108

 received in 2014-01-09, accepted in 2014-06-05,  发布年份 2014

【 摘 要 】

Background

Several types of congenital lesions can cause complete or incomplete obstruction of the intestine. Our purpose is to present 3 neonates with dual intestinal type I atresia, i.e., simultaneous obstructive lesions at 2 locations in which the atresia manifested as diaphragm-like tissue.

Case presentation

All 3 cases were female infants ranging in age from 2 to 14 months. The common symptom in all cases was intermittent persistent vomiting. In some cases the vomitus was bilious, and other symptoms included abdominal distention and delayed meconium passage. Prior surgeries at another hospital were unsuccessful at relieving the symptoms in one case. One case had dual lesions in the colon, one dual lesions in the duodenum, and one atresia at both the distal portion of the ileum and the descending colon. Surgical exploration and removal of the lesions at our hospital was successful in all cases, and the infants were discharged in good condition.

Conclusions

Type I atresia can manifest as a diaphragm-like tissue obstructing the continuity of gastrointestinal tract, and in rare cases multiple areas may be present. Base on the intermittent nature of the associated symptoms, diagnosis can be difficult and is often delayed. Physicians should be aware of this condition during the work-up of an infant with persistent intermittent vomiting.

【 授权许可】

   
2014 Chen et al.; licensee BioMed Central Ltd.

【 图 表 】

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