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Fetal jejunoileal atresia with persistent omphalomesenteric duct
B M Petrikovsky1, D J Nochimson, W A Campbell
1Department of Obstetrics and Gynecology, University of Connecticut Health Center, Farmington 06032.
American Journal of Obstetrics and Gynecology
|January 1, 1988
Summary
This case report details fetal jejunoileal atresia linked to a persistent omphalomesenteric duct. Surgical intervention successfully addressed the condition in a neonate.
Area of Science:
- Fetal surgery
- Neonatal surgery
- Gastrointestinal development
Background:
- Jejunoileal atresia is a congenital intestinal obstruction.
- Persistent omphalomesenteric duct is a rare congenital anomaly.
Observation:
- A fetus presented with jejunoileal atresia and a persistent omphalomesenteric duct.
- Prenatal sonography revealed a characteristic "multiple bubble sign" due to dilated stomach and duodenum.
Findings:
- The neonate required exploratory laparotomy for surgical correction.
- The procedure involved excision of the omphalomesenteric duct, gastrotomy, and colostomy.
Implications:
- This case highlights the importance of recognizing the association between these two conditions.
- Understanding the etiology of jejunoileal atresia is crucial for prenatal diagnosis and management.
- Early surgical intervention is vital for neonatal outcomes in intestinal atresia.