Type IV jejunal atresia with an unusual variation of enteric duplication: report of a case
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Updated: Jun 5, 2026
08:49
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Vikal Chandra Shakya1, Chandra Shekhar Agrawal, Sudeep Khaniya
1Department of Surgery, BP Koirala Institute of Health Sciences, 56701 Dharan, Nepal.
Surgery Today
|December 31, 2010
Insights
A rare case of jejunal atresia type IV, accompanied by enteric duplication and multiple diverticula, was identified in a newborn. This specific combination of congenital gastrointestinal anomalies has not been previously documented in medical literature.
Area of Science:
- Pediatric Surgery
- Congenital Gastrointestinal Malformations
- Neonatal Care
Background:
- Jejunal atresia is a congenital obstruction of the small intestine, with various classifications based on the type of discontinuity.
- Enteric duplications are rare congenital anomalies representing incomplete separation of the embryonic foregut or midgut.
- Diverticuli in the small intestine are uncommon in neonates and can be associated with other malformations.
Observation:
- A 3-day-old female infant presented with symptoms suggestive of intestinal obstruction.
- Surgical exploration revealed a complex congenital anomaly involving the jejunum.
Findings:
- The infant was diagnosed with type IV jejunal atresia, characterized by a complete discontinuation of the jejunal lumen.
- Associated findings included an enteric duplication cyst adjacent to the atretic segment and multiple jejunal diverticuli.
- This specific constellation of jejunal atresia type IV, enteric duplication, and multiple diverticuli is, to the best of our knowledge, unprecedented in reported cases.
Implications:
- This case highlights the importance of thorough intraoperative assessment for associated anomalies in neonates with jejunal atresia.
- Understanding rare combinations of gastrointestinal malformations aids in surgical planning and improves patient outcomes.
- Further research into the embryological basis of such complex associations may provide insights into prevention and treatment strategies.
Abstract:
We report a rare case of type IV jejunal atresia with enteric duplication and multiple diverticuli, found in a 3-day-old baby girl. To our knowledge, this association has never been reported before.
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