1. Acquired ileal atresia complicating an ileocolic intussusception in a 4-month-old infant
- Author
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Roland I Osuoji, Ogechukwu Idika, Akin Bankole, and Edwin Odomeja
- Subjects
medicine.medical_specialty ,medicine.medical_treatment ,Intestinal Atresia ,Anastomosis ,Colonic Diseases ,Ileum ,Intussusception (medical disorder) ,Laparotomy ,Intestine, Small ,medicine ,Humans ,Colectomy ,biology ,business.industry ,Wound dehiscence ,Ileal Diseases ,General surgery ,digestive, oral, and skin physiology ,Anastomosis, Surgical ,Ileal Atresia ,Infant ,General Medicine ,Abdominal distension ,medicine.disease ,biology.organism_classification ,Surgery ,Treatment Outcome ,Red currant ,Pediatrics, Perinatology and Child Health ,Vomiting ,Female ,medicine.symptom ,business ,Intussusception - Abstract
We report a 4-month-old female infant who was apparently well before the onset of vomiting, abdominal distension, and the passage of red currant jelly stools. A clinical diagnosis of intussusception was made, and the infant was prepared for a laparotomy. Intraoperative findings were a gangrenous ileocolic intussusception with a proximal atretic ileal segment (similar to a type IIIa ileal atresia). An extended right hemicolectomy including the atretic ileal segment was done with an ileotransverse anastomosis to establish bowel continuity. The patient had a wound dehiscence on the fourth postoperative day that was repaired. She subsequently made satisfactory clinical recovery and was discharged on the 10th day.
- Published
- 2010