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Jejunal Web Associated With Ileo-Ileal Intussusception in a 10-Month-Old Female Infant: A Rare Case Report
Rajabu Athumani Bakari1, Alfred Chibwae2, Zihaya Abdul Barunguza1,2
1Department of Surgery Muhimbili National Hospital Dar es Salaam Tanzania.
Insights
Jejunal webs are a rare cause of infant intestinal obstruction, and their link to ileo-ileal intussusception is exceptionally uncommon. Early suspicion and careful surgical assessment are key for diagnosis and treatment.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
- Congenital Anomalies
Background:
- Jejunal webs are a rare congenital anomaly.
- Late-presenting intestinal obstruction in infants can stem from various causes.
- The association between jejunal webs and ileo-ileal intussusception is exceptionally rare.
Purpose of the Study:
- To highlight the uncommon presentation of jejunal webs.
- To emphasize the diagnostic challenges and surgical considerations for jejunal webs associated with intussusception.
- To underscore the importance of intra-operative assessment.
Main Methods:
- Case report review.
- Literature review on jejunal webs and intussusception.
- Surgical technique description.
Main Results:
- Jejunal webs can cause intestinal obstruction presenting late in infancy.
- The co-occurrence of jejunal webs and ileo-ileal intussusception is exceptionally rare.
- Successful surgical management relies on high suspicion and meticulous intra-operative evaluation.
Conclusions:
- A high index of suspicion is crucial for diagnosing jejunal webs presenting as intestinal obstruction.
- Thorough intra-operative assessment of the bowel is essential for identifying and managing associated anomalies like intussusception.
- Optimal surgical outcomes depend on accurate diagnosis and complete resection of the web.
Abstract:
Jejunal web is a rare cause of late-presenting intestinal obstruction in infancy. Its association with ileo-ileal intussusception is exceptionally uncommon. A high index of suspicion and thorough intra-operative bowel assessment are essential for diagnosis and optimal surgical management.
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