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Segmental ileal obstruction in neonates--a rare entity.
Subhasis Saha1, Hiralal Konar, Partha Chatterjee
1Department of Pediatric Surgery, The Calcutta Medical Research Institute, Kolkata 700027, West Bengal, India. subbadoc@gmail.com
Journal of Pediatric Surgery
|September 9, 2009
Summary
Congenital segmental dilatation, a rare condition causing neonatal intestinal obstruction, is presented in two cases. This localized ileal dilation leads to functional obstruction without bowel wall defects or missing nerve cells.
Area of Science:
- Pediatric Surgery
- Neonatal Gastroenterology
- Medical Genetics
Background:
- Congenital segmental dilatation of the small intestine is a rare cause of neonatal intestinal obstruction.
- Understanding its etiology and presentation is crucial for timely diagnosis and management.
Observation:
- Two cases of neonates presenting with intestinal obstruction due to congenital segmental dilatation of the ileum are reported.
- Clinical presentation included localized ileal dilation with distal bowel collapse.
Findings:
- The obstruction was functional, without evidence of bowel wall discontinuity.
- Histological examination revealed the absence of specific abnormalities like lack of ganglion cells, differentiating it from other conditions.
Implications:
- This condition requires careful diagnostic evaluation to distinguish it from other causes of neonatal obstruction.
- Further research may elucidate the specific pathophysiology of this rare congenital anomaly.
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