Mandelia Ankur, Agarwala Sandeep
Senior Resident, Department of Paediatric Surgery, All India Institute of Medical Sciences , New Delhi, India .
Professor, Department of Paediatric Surgery, All India Institute of Medical Sciences , New Delhi, India .
J Clin Diagn Res. 2015 Jan;9(1):PD01-2. doi: 10.7860/JCDR/2015/8979.5358. Epub 2015 Jan 1.
Acquired intestinal atresia in non-necrotizing enterocolitis affected patients is very rare. We report a 2 month old male infant who presented with bilious vomiting, abdominal distension and constipation. He was exclusively breast fed, gained weight and was asymptomatic till six weeks of age. Exploratory laparotomy revealed blind-ended, dilated proximal segment and collapsed distal segment of jejunum at approximately 30 cms from duedeno-jejunal flexure, with a V-shaped mesentery defect resembling a type III-a congenital jejunal atresia.
非坏死性小肠结肠炎患儿获得性肠闭锁极为罕见。我们报告一名2个月大的男婴,出现胆汁性呕吐、腹胀和便秘。他一直纯母乳喂养,体重增加,直到6周龄时均无症状。剖腹探查发现,距十二指肠空肠曲约30厘米处的空肠近端呈盲端、扩张,远端塌陷,肠系膜缺损呈V形,类似III-a型先天性空肠闭锁。