Abstract
Background: Colonic atresia is an uncommon entity. It may be associated with multiple anomalies. Case Presentation: We present a case, which was initially suspected to be jejunal atresia, but was found to have colonic atresia as well intra-operatively. The associated jejunal atresia with apple-peel configuration was present as the content of inguinal hernia. Conclusion: This case report highlights the rarity of the condition and the postoperative issues in the management of such patients.
Highlights
Colonic atresia has a reported incidence of 1:20000 to 1:66000 live births and is associated with congenital anomalies in up to 47% of cases
We describe an interesting and rare case of colonic atresia, with multiple jejunal atresias, with distal small bowel apple-peel configuration as the content of the right inguinal hernia
Apple-peel atresia was first described in 1961 by Santulli and Blanc.[9]. It is characterized by proximal jejunal atresia, foreshortened distal small bowel with an absence of dorsal mesentery, and absence of distal part of the superior mesenteric artery
Summary
Colonic atresia has a reported incidence of 1:20000 to 1:66000 live births and is associated with congenital anomalies in up to 47% of cases. We describe an interesting and rare case of colonic atresia, with multiple jejunal atresias, with distal small bowel apple-peel configuration as the content of the right inguinal hernia. Abdomen, in addition to distended small bowel loops, surprisingly revealed a distended ascending colon which was filled with thick fluid suggestive of obstruction in the distal large bowel.
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