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Case report: Congenital short bowel syndrome

Lalitha Palle1, Balaji Reddy

  • 1Department of Radiology, Focus Diagnostic Center, Punjagutta, Hyderabad, India.

The Indian Journal of Radiology & Imaging
|November 3, 2010
PubMed

Insights

Congenital short bowel syndrome (SBS) is a rare infant condition causing failure to thrive. Prompt diagnosis and treatment are crucial for better outcomes in neonates with this gastrointestinal disorder.

Area of Science:

  • Neonatology
  • Pediatric Gastroenterology
  • Surgical Neonatology

Background:

  • Congenital short bowel syndrome (SBS) is a rare but serious condition in infants, distinct from acquired SBS.
  • It presents significant challenges regarding infant mortality and morbidity.
  • Early recognition is key for timely intervention and improved prognosis.

Observation:

  • A 26-day-old infant presented with failure to thrive, recurrent vomiting, and weight loss.
  • Clinical presentation suggested a significant gastrointestinal issue.
  • Diagnostic imaging was essential for identifying the underlying pathology.

Findings:

  • Gastrointestinal contrast study revealed a significantly shortened small bowel.
  • The study also identified malrotation of the bowel.
  • These findings are consistent with congenital short bowel syndrome.

Implications:

  • Early initiation of parenteral nutrition or surgical intervention can improve outcomes.
  • Despite prompt management, severe disseminated sepsis led to a fatal outcome in this case.
  • This case underscores the critical need for rapid diagnosis and management strategies for congenital SBS in neonates.

Keywords:
Congenitalmalabsorptionshort bowel syndrome

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