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Segmental obstructing acute jejunitis in a child

M Hirschberger, E Rosental, M Thaler

    Gastroenterology
    |July 1, 1977
    PubMed

    Insights

    Acute enteritis, typically affecting the ileum, was observed in the jejunum of a young girl. Surgical intervention led to a full recovery, suggesting jejunal involvement is treatable.

    Area of Science:

    • Gastroenterology
    • Pediatric Surgery
    • Pathology

    Background:

    • Acute localized enteritis commonly affects the terminal ileum in both adults and children.
    • The typical presentation involves inflammation of the ileocecal region.

    Observation:

    • A case of acute enteritis was identified, uniquely confined to the jejunum.
    • The patient was a 3 1/2-year-old girl experiencing partial upper intestinal obstruction.

    Findings:

    • Surgical biopsy of the affected jejunal segment revealed acute inflammatory changes within the mucosa.
    • Severe edema was noted in the submucosa of the jejunum.

    Implications:

    • This case expands the known anatomical distribution of acute enteritis to include the jejunum.
    • Surgical resection of the affected jejunal segment resulted in prompt and sustained recovery.
    • Highlights the potential for jejunal acute enteritis as a cause of intestinal obstruction in children.

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