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Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
04:05

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Published on: August 22, 2025

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Delayed diagnosis of type I jejunal atresia in an infant with intractable vomiting: a case report

Hadjar Nassiri1,2,3, Jaouad Bouljrouf1,2, Monim Ochan1,2

  • 1Faculté de Medecine et de Pharmacie de Rabat, Université Mohammed V de Rabat. Av. Hafiane Cherkaoui, Rabat 10000, Morocco.

Journal of Surgical Case Reports
|June 30, 2025
PubMed

Insights

This case report details an infant with chronic vomiting, initially misdiagnosed, who was found to have jejunal atresia and congenital bands. Surgical intervention led to complete recovery, emphasizing the need to consider structural anomalies in infant gastrointestinal issues.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Infantile chronic vomiting and recurrent subocclusive episodes can be challenging to diagnose.
  • Initial misdiagnosis as cow's milk protein allergy and gastritis led to delayed treatment.

Observation:

  • A 14-month-old infant presented with persistent gastrointestinal symptoms since 40 days of life, including dehydration and failure to thrive.
  • Radiologic studies showed dilated proximal small bowel loops without a clear cause of obstruction.

Findings:

  • Exploratory laparotomy revealed Type I jejunal atresia caused by an incomplete mucosal diaphragm.
  • Two congenital fibrous bands were also identified as contributing factors to intermittent obstruction.

Implications:

  • Surgical correction, including resection and anastomosis, resulted in full clinical recovery and catch-up growth.
  • Highlights the importance of considering congenital structural anomalies in infants with refractory gastrointestinal symptoms.
  • Underscores the need for thorough investigation when symptoms suggest partial obstruction unresponsive to medical management.

Keywords:
chronic vomitingdiagnosis delayinfantintestinal obstructionjejunal atresia

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