Ileocaecal valve atresia: our surgical approach: Cacciari A, Mordenti M, Ceccarelli PL, et al. Eur J Pediatr Surg 2004 (December);14:435-439

Abstract

Atresia of the ileocecal valve is the rarest type of intestinal atresia. There are very few reports on it in the literature, and all cases described to date were treated by ileocolic resection. The authors present such a case of ileocecal atresia, the third in the literature, in which a different technical approach was employed as an alternative to the usual surgical technique. The patient presented with a complicated intestinal perforation in whom an ileal stoma was established after an unsuccessful conservative approach. Four months later the stoma was closed. During this procedure the ileocecal valve atresia was detected and treated by creating a new ileocecal valve and carrying out an appendectomy. After a 7-year follow-up no complications have occurred, and the girl enjoys very good health.