Congenital segmental dilatation of intestine with different morphology: A case report
Keywords:Neonatal intestinal obstruction, Anorectal malformation, Congenital segmental dilatation
Background: Congenital segmental dilatation of intestine is a rare entity characterized by a localized dilated segment of the intestine. It manifests as neonatal intestinal obstruction. Occurrence with another surgical anomaly may masquerade it and complicate the treatment course.
Case Presentation: A 1-day-old male neonate with anorectal malformation underwent colostomy as first stage of the treatment. The stoma did not function postoperatively. At repeat surgery, congenital segmental dilatation of the ileum, with slightly different morphology, was found. Resection of the lesion and ileostomy were formed. Postoperative course remained uneventful.
Conclusion: Congenital segmental dilatation of intestine may be missed at initial surgery. Complete surgical resection is curative.
Kasanga TK, Zeng FT, Jampy-Biaya S, Mbuyi AN, Mbuyi-Musanzayi S. Congenital segmental dilatation of the jejunum in an African child: case report. Pan Afr Med J [Internet]. 2021 [cited 2021 Aug 17];38. Available from: https://www.panafrican-med-journal.com/content/article/38/122/full.
Ragavan M, Arunkumar S, Balaji N. Segmental dilatation of near total colon managed by colon preserving surgery. APSP J Case Rep [Internet]. 2012 [cited 2021 Aug 18];3:18.
Mirza B, Bux N. Multiple congenital segmental dilatations of colon: a case report. J Neonatal Surg [Internet]. 2012;1:40. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26023399.
Sakaguchi T, Hamada Y, Masumoto K, Taguchi T. Segmental dilatation of the intestine: results of a nationwide survey in Japan. Pediatr Surg Int. 2015; 31:1073–6.
Adhikari SB, Rana S, Chalise S. Diagnostic dilemma of congenital segmental jejunal pseudo-dilatation associated with immature ganglion cells in the colon: A case report. J Neonatal Surg [Internet]. 2020; 9:13. Available from: https://www.jneonatalsurg.com/ojs/index.php/jns/article/view/jns-532.
Rai BK, Mirza B, Hashim I, Saleem M. Varied presentation of congenital segmental dilatation of the intestine in neonates: Report of three cases. J Neonatal Surg [Internet]. 2016 [cited 2021 Aug 17]; 5:55.
Sergi C, Hager T, Hager J. Congenital segmental intestinal dilatation: A 25-year review with long-term follow-up at the Medical University of Innsbruck, Austria. Am J Perinatol Reports [Internet]. 2019; 09:e218–25. Available from: http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1693164.
Constanza Janis M, Maricic M, Wurm AL, Medina MS, Díaz SB, Bernatzky A, et al. Segmental dilatation of the intestine. Case report of a typical presentation in a newborn. Arch Argent Pediatr. 2021; 119:E158–62.
Nakagawa Y, Harada T, Kaneoka Y. Congenital segmental dilatation of the intestine in extremely low birth weight infants. J Pediatr Surg Case Reports [Internet]. 2020 [cited 2021 Aug 17]; 59:101506. Available from: https://linkinghub.elsevier.com/retrieve/pii/S2213576620301408.
Sarin YK, Singh VP. Congenital segmental dilatation of colon. Indian Pediatr. 1995;32:116–8.
Khemakhem R, Riazulhaq M, Elhassan EO. Segmental dilatation of intestine presenting as partial intestinal obstruction in a child. APSP J Case Rep. 2014; 5:19.
Balik E, Taneli C, Yazici M, Demircan M, Herek. Segmental dilatation of intestine: A case report and review of the literature. Eur J Pediatr Surg. 1993; 3:118–20.
Gupta R, Sharma P, Chatterjee A, Shukla AK, Gupta AK, Agrawal LD, et al. Congenital pouch colon with segmental dilatation of ileum: Congenital pouch colon type 6. J Indian Assoc Pediatr Surg [Internet]. 2020 [cited 2021 Aug 19];25(5):319.
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