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At least 1,009 records · Page 56Linked to original sources
PubMed2003

The diagnostic value of the triple bubble sign in proximal jejunal atresia: a case report.

Proximal jejunal atresia (PJA) is a common cause of intestinal obstruction in the newborn. Despite the need for an early surgical intervention to minimize morbidity and mortality, a timely identification is frequently precluded by the absence of specific clinical and investigative clues. Against the background of the limitations in making a timely diagnosis of PJA in a tropical setting, where opportunities for high-tech imaging tools are few, we report the diagnostic value of the "triple bubble" sign on the plain radiograph of a Nigerian infant. This radiologic finding led to an early diagnosis and ultimately a prompt surgical extirpation. The paper suggests that the presence of this sign should be a pointer to an early diagnosis of PJA.

Humans↗
PubMed1995

Colonic atresia combined with Hirschsprung's disease: a diagnostic and therapeutic challenge.

Three new cases of patients with co-occurrence of colonic atresia and Hirschsprung's disease and a review of the literature (n = 5) are presented in this report. All patients (n = 8) except one were full-term infants who had no other significant anomalies. The preterm infant had associated tetralogy of Fallot in addition to Hirschsprung's disease and colonic atresia. Six patients had atresia of the ascending colon, and two had atresia of the colon to splenic flexure. All colonic atresias were diagnosed neonatally; however, there was mean delay of 15.4 months (range, 1 mo to 5 years) in diagnosing associated Hirschsprung's disease. There were two deaths. A careful examination of the resected specimen to rule out Hirschsprung's disease is recommended. Performing a rectal biopsy must be considered for patients who initially were treated for colonic atresia and who have a slow return of normal gut function.

Anal Canal↗
PubMed1977

[The morphology of small bowel in small bowel atresia and stenosis].

The morphologic analysis of 24 operation specimens of small bowel atresia and stenosis reveals: 1. The classification in the 4 common types of atresia is without importance for the operative management in the newborn. 2. Widely important are systemic structural changes of the atretic, preatretic, and the oral small bowel, the associated intraabdominal malformations, and the mucoviscidosis. The morphological damages at the small bowel in atresia are shown in detail. In some cases the results of the histological examination elucidate vascular alterations caused by small bowel obstruction, The severe destructing pre-atretic small bowel should be resected.

Humans↗
PubMed2002

Colonic atresia and Hirschsprung's disease: importance of histologic examination of the distal bowel.

Hirschsprung's disease associated with colonic atresia is rare. A boy with colonic atresia at the hepatic flexure who had a colostomy in the neonatal period suffered from severe constipation after definitive colocolostomy. Hirschsprung's disease was diagnosed with anorectal manometry and rectal mucosal biopsy, and a Duhamel-Ikeda's pull-through procedure was performed. Aganglionosis of the entire distal colon was seen, and intrauterine torsion of the dilated proximal colon followed by necrosis and absorption was suspected as the cause of colonic atresia. Colonic atresia should be generally screened for Hirschsprung's disease with a rectal biopsy. J

Biopsy↗
PubMed1981

[Segmental colonic atresia - a contribution to the differential diagnosis of ileus in the newborn (author's transl)].

Segmental atresia of the colon is regarded as an urgent emergency in the neonatal period and quick diagnosis and surgical interference are necessary. In spite of the rarity of this condition it could be thought about in the differential diagnosis in infants with relevant symptoms and can be diagnosed by simple means. The author's own technique is described in relation to the case of atresia of the transverse colon. The aetiology, classification, clinical picture, diagnosis and treatment are discussed. The prognosis depends very much on early diagnosis.

Colon↗
PubMed1984

[Neonatal gastric obstruction].

Gastric outlet obstruction in newborn may be due to segmental atresia or mucosal diaphragm. The authors report two cases of pyloric obstruction and they consider the etiopathogenetic and diagnostic aspects.

Duodenum↗
PubMed2000

Acquired ileal atresia and spontaneous reconstitution of intestinal continuity in a premature infant with necrotizing enterocolitis.

An 849-g (26-week gestation) premature infant had pneumoperitoneum on the 20th day of life after having normal stools and accepting partial enteric alimentation. Percutaneous penrose drainage had to be performed on 2 consecutive days at 2 different sites (right lower quadrant, left lower quadrant), at which time she stabilized. Eleven days later, she started to pass stool, and oral feeding was begun (1 to 2 mL every 4 hours). Enteral intake could not be advanced because of repeated bouts of abdominal distension, despite having regular bowel motions. Gastrointestinal contrast radiographic investigation suggested a stricture of the ileum. At laparotomy (at age 2 months) ileal atresia with a "V"-shaped defect in the mesentery was found. Surprisingly, intestinal continuity was established via an ileoileal fistula. After resection and anastomosis, she recovered fully. Mesenteric and enteric vascular ischemia (necrotizing enterocolitis) produced acquired ileal atresia-a rare occurrence. More rare is the reestablishment of intestinal continuity by fistulization.

Drainage↗
PubMed2001

Duodenal atresia with an anomalous common bile duct masquerading as a midgut volvulus.

In a patient with duodenal atresia, a "double bubble" is classically present on plain radiographs. When bowel gas exists distal to the duodenum, duodenal atresia often is excluded from the differential diagnosis. The authors present a case in which contrast can be seen in the small bowel and biliary system on upper gastrointestinal series in a patient with duodenal atresia and an anomalous common bile duct. One always must consider duodenal atresia with an anomalous biliary system as a possible cause of bilious vomiting with a high grade proximal bowel obstruction in a neonate. J Pediatr Surg 36:956-957.

Common Bile Duct↗
PubMed1986

Gastrointestinal tract anomalies: neonatal surgical problems.

This report deals only with anomalies, treated after prenatal diagnosis, with which we have experience. Other malformations have been intentionally excluded. The neonatal management of duodenal atresia and jejunoileal atresia is briefly outlined. Our early results in 7 cases treated after antenatal diagnosis are compared with 81 cases treated without the benefit of antenatal diagnosis. Antenatal diagnosis appears to improve the outcome in these patients.

Duodenal Obstruction↗
PubMed2005

A case of rectal atresia associated with recto-bulbar urethral fistula.

Rectal atresia is a rare condition in which the anus and sphincter muscles are normally developed, with usually no fistulous communication with the urinary tract. An unusual case of rectal atresia associated with recto-bulbar urethral fistula treated by a combination of colo-anal anastomosis and mucosal proctectomy via a posterior sagittal approach is reported for the first time.

Colostomy↗
PubMedDate not supplied

Three faces of midgut duplication.

This is an analysis of three unusual cases of gastrointestinal duplications seen over a two year period. They were all males aged eight and 48 hours, and 4 1/2 years. Two had cystic duplications; in one of them it was associated with a partially fixed cecum resulting in a volvulus, while in the second the duplication occurred in association with duodenal atresia and jejunal deletion. The third patient had a tubular malformation involving distal jejunum, whole of the ileum, and right side of the colon as far as its transverse level. It was also associated with duodenal stenosis and rectal atresia. Two cystic duplications had muscular coats separate from the normal bowel permitting complete excision. Clinical presentation and pathological anatomy are briefly considered and aspects of management are discussed.

Child, Preschool↗
PubMed1986

[The small left colon in newborn infants].

We describe 4 patients with a neonatal small left colon. From these cases and from the literature we know that in 40 to 50% the mother has diabetes mellitus. We describe the differential diagnosis with morbus Hirschsprung, meconium plug and the occurrence of a microcolon in atresias and meconium ileus. Three of the four patients were prematures. From the literature we know this abnormality is found mostly in term infants.

Colon↗
PubMed2004

Pyloric atresia: a new operation to reconstruct the pyloric sphincter.

BACKGROUND/PURPOSE: The standard method of surgical correction of pyloric atresia "solid segment" type is a gastroduodenostomy that can in the long term cause bilious duodenogastric reflux. The authors report 2 cases of pyloric atresia in which the pyloric sphincter was reconstructed by a new technique of gastroduodenal mucosal advancement anastomosis. METHODS: Two premature babies with "solid segment"-type pyloric atresia, one with an associated junctional epidermolysis bullosa, underwent surgery for reconstruction of the pyloric sphincter. By a longitudinal incision of the atretic pylorus, the cul-de-sacs of gastric and duodenal mucosa were isolated in the respective gastric and duodenal sides, advanced into the opened pyloric canal, and sutured together using end-to-end anastomosis. The longitudinal pyloromyotomy then was closed above the reconstructed mucosal pyloric neocanal. RESULTS: The postoperative course was normal. At 7 years (patient 1) and 2 years (patient 2) after the operation, both are well, and no gastrointestinal disorders are present. Good competence of the pyloric sphincter has been confirmed by x-ray barium meal in both cases, and by HIDA technetium 99m hepatic scintiscan and esophagogastroduodenoscopy (EGD) with biopsy in patient 1. CONCLUSIONS: Our technique of surgical correction of pyloric atresia allows preservation of the pyloric sphincter, whose muscular layer, although hypoplastic, is present in these cases.

Anastomosis, Surgical↗
PubMed1983

An unusual association of small bowel atresia and biliary atresia: a case report.

The embryological development of the hepatobiliary bud presupposes that biliary and duodenal malformations are often associated. On the other hand, the association of biliary atresia with more distal small bowel malformations, possibly due to a vascular accident, seems to be fortuitous. We herewith report such a case and, on reviewing the literature, have found only two previous similar observations.

Bile Ducts↗