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Atresia of the appendix

A Woywodt¹, S Verhaart, A Kiss

¹Department of Surgery, University of the Witwatersrand, Johannesburg, Gauteng Province, Republic of South Africa.

Journal of Pediatric Surgery

|October 10, 1998

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This case report details the first known instance of appendiceal atresia, a rare congenital condition, occurring alongside jejunal atresia in a newborn. Surgical repair was successful, with the infant recovering fully without complications.

Area of Science:

Pediatric Surgery
Gastroenterology
Congenital Malformations

Background:

Intestinal obstruction in neonates is often caused by congenital anomalies.
Jejunal atresia is a significant cause of obstruction, requiring prompt surgical intervention.
Appendiceal atresia is an extremely rare congenital anomaly, with limited literature available.

Observation:

A 4-day-old infant presented with symptoms of intestinal obstruction.
Surgical exploration revealed multiple Type IV jejunal atresias and an incidentally discovered atretic appendix.
Histopathological examination confirmed Type IV jejunal atresia and Type II appendiceal atresia.

Findings:

The patient underwent successful surgical repair of both jejunal atresia and the appendiceal anomaly.

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The appendix was found to be cord-like with inflammatory changes at its tip.

Post-operative recovery was uneventful, with no other congenital abnormalities identified.

Implications:

This case represents the first documented instance of appendiceal atresia in medical literature.
The co-occurrence of jejunal and appendiceal atresia highlights the spectrum of gastrointestinal congenital anomalies.
Further research into the embryological basis and potential genetic factors of appendiceal atresia is warranted.