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Estenosis ileal congénita

Michael Wang¹, Erika B Lindholm²

¹Department of General Surgery, Cooper University Hospital, 1 Cooper Plaza, Camden, NJ 08103, United States.

Journal of surgical case reports

|February 19, 2026

Resumen

La estenosis ileal congénita, una forma rara de atresia yeyuno-ileal (AYI), puede causar síntomas obstructivos sutiles en recién nacidos. El diagnóstico temprano y la intervención quirúrgica son cruciales para resultados favorables en estos casos desafiantes.

Palabras clave:

congénito atresia intestinal estenosis intestinal

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Área de la Ciencia:

Cirugía Neonatal; Gastroenterología Pediátrica; Diagnóstico Médico

Sus antecedentes:

La atresia yeyuno-ileal (AYI) congénita es una afección neonatal grave que requiere tratamiento rápido.; La AYI típica se presenta con obstrucción completa y estreñimiento, lo que lleva a un diagnóstico sencillo.; La estenosis ileal, una variante rara de AYI, se presenta con obstrucción incompleta y síntomas menos evidentes.

Objetivo del estudio:

Destacar los desafíos diagnósticos que plantea la estenosis ileal congénita.; Presentar un caso de estenosis ileal con síntomas obstructivos intermedios.; Enfatizar la importancia de considerar variantes raras de AYI en el diagnóstico neonatal.

Principales métodos:

Informe de caso de una recién nacida de 39 semanas con vómitos biliosos.; El estudio diagnóstico incluyó radiografía, fluoroscopia con contraste y laparotomía exploratoria.; El manejo quirúrgico implicó resección y anastomosis primaria.

Principales resultados:

La fluoroscopia con contraste excluyó vólvulo y problemas colónicos.; Se observó dilatación persistente del intestino delgado y neumatosis.; La laparotomía exploratoria confirmó la estenosis ileal; la reparación quirúrgica fue exitosa.

Conclusiones:

La estenosis ileal congénita es una causa rara de obstrucción intestinal neonatal.; Los síntomas equívocos en la estenosis ileal pueden crear un dilema diagnóstico en comparación con las atresias clásicas.; La intervención quirúrgica rápida condujo a un buen resultado para el paciente.