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Ileal perforation in segmental intestinal dilatation associated with omphalocoele
C R Thambidorai1, H Arief, M S Noor Afidah
1Department of Surgery, University Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, Cheras, Kuala Lumpur 56000, Malaysia. thambidorai@gmail.com
Singapore Medical Journal
|January 21, 2010
Summary
Segmental intestinal dilatation (SID) is a rare condition often linked to omphalocoele. This study reports the first case of bowel perforation in a neonate with SID and omphalocoele, suggesting an embryological link to Meckel
Area of Science:
- Pediatric Surgery
- Neonatal Medicine
- Gastroenterology
Background:
- Segmental intestinal dilatation (SID) is a rare congenital anomaly.
- SID associated with omphalocoele is exceptionally uncommon, with few cases reported previously.
- Most reported cases of SID with omphalocoele are incidental findings or present with intestinal obstruction.
Purpose of the Study:
- To report the first case of bowel perforation in a neonate with SID associated with omphalocoele.
- To explore the potential embryological relationship between SID and Meckel's diverticulum.
Main Methods:
- Case report of a 37-week-old neonate presenting with bowel perforation.
- Surgical and pathological examination of the affected intestinal segment.
- Histopathological analysis to identify associated vascular structures.
Main Results:
- A neonate with omphalocoele presented with bowel perforation.
- The affected segment exhibited localized intestinal dilatation without a clear macroscopic cause.
- A unique vascular structure, resembling the mesodiverticular vessel of a Meckel's diverticulum, was identified within the dilated segment.
Conclusions:
- This case represents the first documented instance of bowel perforation in SID associated with omphalocoele.
- The presence of a mesodiverticular-like vessel supports a potential shared embryological origin for SID and Meckel's diverticulum.
- Further research is warranted to elucidate the embryogenesis of SID and its association with other congenital anomalies.
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