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Apple-peel atresia presenting as foetal intestinal obstruction
Ashok Yadavrao Kshirsagar1, Sushma Rajaram Desai, Mayur Anant Nagvekar
1Department of Surgery, Krishna Institute of Medical Sciences University, Karad, Maharashtra, India. drayk@indiatimes.com
African Journal of Paediatric Surgery : AJPS
|October 19, 2011
Summary
Apple-peel atresia, a rare cause of fetal intestinal obstruction, was diagnosed prenatally via ultrasound. Surgical correction involved resection and anastomosis, leading to a positive outcome for the infant.
Area of Science:
- Pediatric Surgery
- Fetal Medicine
- Gastroenterology
Background:
- Apple-peel atresia, or Type 3 jejuno-ileal atresia (JIA), is an infrequent cause of fetal intestinal obstruction.
- Prenatal diagnosis of fetal intestinal obstruction via ultrasonography occurs in only 50% of cases.
Purpose of the Study:
- To report a case of Type 3 jejuno-ileal atresia diagnosed prenatally.
- To illustrate the diagnostic and surgical management of this rare condition.
Main Methods:
- Diagnosis of fetal intestinal obstruction using prenatal ultrasonography.
- Exploratory laparotomy performed on day one after birth.
- Surgical resection of atretic segments with jejuno-ascending colon anastomosis.
Main Results:
- Successful prenatal diagnosis of fetal intestinal obstruction.
- Confirmation of Type 3 jejuno-ileal atresia during surgery.
- Successful surgical correction achieved through resection and anastomosis.
Conclusions:
- Prenatal ultrasonography can effectively diagnose fetal intestinal obstruction, including rare conditions like Type 3 JIA.
- Early surgical intervention, including resection and anastomosis, is crucial for managing jejuno-ileal atresia.
- This case highlights the importance of timely diagnosis and surgical management for favorable outcomes in neonatal intestinal obstruction.
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