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Ultrasonic Diagnosis of Congenital Enterocolitis Fistula: A Case Report
Zhiheng Yan1, Bin Ma1, Yalu Pang1
1Ultrasound Medicine Center, Gansu Provincial Maternity and Child-care Hospital, Lanzhou 730050, Gansu, China.
Insights
Congenital enterocolic fistula is a rare condition. Ultrasound aids in diagnosing this rare intestinal anomaly, leading to successful surgical treatment and symptom improvement.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Diagnostic Imaging
Background:
- Congenital enterocolic fistula, an abnormal connection between the small intestine and colon, is a rare condition.
- This anomaly can lead to significant complications impacting patient quality of life.
Observation:
- A 2-year-old girl presented with prolonged abdominal pain and diarrhea.
- Initial diagnosis of intestinal fistula was made using ultrasound, which also assessed blood flow.
- Surgical exploration confirmed a fistula between the jejunum and descending colon.
Findings:
- Ultrasound is increasingly vital for diagnosing rare congenital colonic fistulas.
- The case highlights successful diagnosis and treatment of a congenital colonic fistula.
- Postoperative recovery was favorable with symptom resolution and fistula healing.
Implications:
- Early diagnosis and staging of congenital intestinal diseases are facilitated by real-time ultrasound imaging.
- Ultrasound plays a crucial role in determining optimal diagnosis and treatment strategies.
- This case underscores the diagnostic utility of ultrasound in managing rare congenital gastrointestinal anomalies.
Background:
Congenital enterocolic fistula, an abnormal connection between the small intestine and the colon, is a rare condition with the potential for significant complications affecting the patient’s quality of life.
Case Report:
A 2 year and 7 months old girl presented with abdominal pain and diarrhea lasting more than 10 days. The formation of the intestinal fistula was first detected by ultrasound, and the blood flow in the intestinal wall was preliminally analyzed. Surgical exploration revealed a colonic fistula formed by the attachment of the jejunum to the descending colon. Postoperatively, symptoms improved; no secondary infection occurred and the fistula healed well.
Conclusion:
Congenital colon fistula is rarely reported, and ultrasound is becoming more and more important in its diagnosis. Here, we report a case of congenital colonic fistula diagnosed by ultrasound. Ultrasound can dynamically and in real-time observe the intestinal condition, which is conducive to the early diagnosis and staging of congenital intestinal diseases and the determination of diagnosis and treatment schemes.
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