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Segmental dilatation of the jejunum
Acta Paediatrica Japonica : Overseas Edition
|February 1, 1996
Summary
Segmental dilatation of the jejunum in infants can mimic intussusception, causing severe pain and vomiting. Surgical resection of the affected jejunal segment is an effective treatment, with normal histology and an uneventful recovery.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Developmental Biology
Background:
- Segmental dilatation of the jejunum is a rare congenital anomaly.
- It can present with symptoms mimicking other common pediatric surgical emergencies like intussusception.
Observation:
- A 6-month-old infant presented with intermittent colic, severe abdominal pain, and bilious vomiting.
- These clinical findings suggested a diagnosis of intussusception.
Findings:
- Laparotomy revealed a segmentally dilated jejunum.
- Surgical resection of the affected jejunal segment was performed.
- Histological examination confirmed normal ganglion cells and bowel structure, ruling out Hirschsprung's disease.
Implications:
- This case highlights the importance of considering segmental dilatation of the jejunum in the differential diagnosis of infantile intestinal obstruction.
- Early surgical intervention through resection is a viable treatment option.
- The condition appears to be a distinct entity from other functional or obstructive bowel disorders.