Zain Mostafa, Khairi Ahmed, Abouheba Mohamed
Department of Pediatric Surgery, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Case Rep Gastroenterol. 2021 Jun 21;15(2):545-550. doi: 10.1159/000516685. eCollection 2021 May-Aug.
Congenital web of the gastrointestinal tract is a rare anomaly which may present at any site of the gastrointestinal tract. In cases with an intact membrane, the presenting symptoms may take the form of complete intestinal obstruction while in other cases with a fenestrated membrane, it may present with partial intestinal obstruction such as failure to thrive, volume depletion, or poor body-weight gain, representing a chronic condition. It is very rare for a jejunal web to present with retention of accidently ingested foreign body. In this report, we document a case of 14-month boy with retention of accidently ingested button battery who was found to have a jejunal web on surgical exploration. This case report stresses on the importance of prevention of ingestion of inanimate foreign bodies especially in young infants and that the absence of symptoms does not preclude presence of foreign body in children. Also, surgeons should be prepared to deal with other unsuspected findings intraoperatively. After a review of the literature, jejunal web should be considered in the differential diagnosis of chronic partial intestinal obstruction even in adults.
先天性胃肠道蹼是一种罕见的异常情况，可出现在胃肠道的任何部位。在膜完整的病例中，出现的症状可能表现为完全性肠梗阻，而在其他膜有小孔的病例中，可能表现为部分性肠梗阻，如发育不良、容量减少或体重增加不佳，这是一种慢性病症。空肠蹼伴有意外摄入异物滞留的情况非常罕见。在本报告中，我们记录了一例14个月大的男孩，他意外摄入纽扣电池后滞留，手术探查发现有空肠蹼。本病例报告强调了预防无生命异物摄入的重要性，尤其是在幼儿中，并且无症状并不排除儿童体内存在异物。此外，外科医生应准备好在术中处理其他未被怀疑的发现。在查阅文献后，即使在成年人中，空肠蹼也应被纳入慢性部分性肠梗阻的鉴别诊断中。
