Two cases of type 1 jejunoileal atresia with multiple webs: A case report.

INTRODUCTION AND IMPORTANCE

Type 1 jejunoileal atresia with multiple webs is a rare congenital condition that poses significant surgical challenges in neonates. Understanding the unique presentation and management strategies in such cases is crucial for improving patient outcomes.

CASE PRESENTATION

We report two cases involving full-term neonates presenting with severe abdominal distension and bilious vomiting. Radiologic studies confirmed intestinal obstruction due to multiple jejunoileal webs. The first case was managed with jejunoileal resection and anastomosis, while the second case underwent web excision with jejunoileoplasty. Despite successful surgeries, both patients faced significant postoperative complications, leading to fatal outcomes.

CLINICAL DISCUSSION

These cases illustrate the complexity of managing type 1 jejunoileal atresia with multiple webs, emphasizing the importance of early diagnosis, meticulous surgical intervention, and comprehensive postoperative care. The condition, while rare, requires a tailored approach to optimize surgical outcomes and patient survival.

CONCLUSION

The cases highlight the critical need for standardized treatment protocols and vigilant postoperative monitoring in managing neonatal intestinal obstructions, particularly in rare conditions such as type 1 jejunoileal atresia with multiple webs. This report contributes to the surgical literature by providing insights into the challenges and potential strategies for managing such complex cases.