Abstract
The presentation of congenital intestinal stenosis in neonates can vary from mild intermittent feeding intolerance resulting in difficulty of clinical judgment to profound obstruction. This report describes one case of ileal stenosis whose radiological investigations were not favoring intestinal obstruction and was diagnosed after surgical exploration.
Highlights
Congenital jejunoileal atresias are one of the major causes of neonatal intestinal obstruction
In 1955, Louw and Barnard demonstrated the role of late intrauterine mesenteric vascular accidents as the likely cause of jejunoileal atresias in neonates [1]
In this report we describe a 7-day-old neonate who presented with features suggestive of intestinal obstruction but normal radiological findings and was diagnosed only after laparotomy
Summary
Congenital jejunoileal atresias are one of the major causes of neonatal intestinal obstruction. Jejunoileal atresias have an estimated incidence of one per 1500–5000 live births, with jejunal involvement in 51% and ileal in 49% of total cases. They are usually detected in the third trimester of pregnancy. In this report we describe a 7-day-old neonate who presented with features suggestive of intestinal obstruction but normal radiological findings and was diagnosed only after laparotomy. The baby stayed at home for 4 days with a history of intermittent vomiting. He was later readmitted to the NICU because of recurrent bilious vomiting and clinical jaundice on the 7th day of life. He gradually reached full feeding with no vomiting and was discharged home on the 27th day of life and has been well since
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