Colonic and type IV jejunal atresias with apple-peel bowel segment as the content of right inguinal hernia: A case report
Keywords:Colonic atresia, Apple peel atresia, Inguinal hernia, Volvulus
Background: Colonic atresia is an uncommon entity. It may be associated with multiple anomalies.
Case Presentation: We present a case, which was initially suspected to be jejunal atresia, but was found to have colonic atresia as well intra-operatively. The associated jejunal atresia with apple-peel configuration was present as the content of inguinal hernia.
Conclusion: This case report highlights the rarity of the condition and the postoperative issues in the management of such patients.
Etensel B, Temir G, Karkiner A, Melek M, Edirne Y, Karaca I, et al. Atresia of the colon. J Pediatr Surg. 2005; 40:1258-68.
El-Asmar KM, Abdul-Latif M, El-Kassaby AA, Soliman MH, El-Behera MM. Colonic atresia: Association with other anomalies. J Neonatal Surg. 2016; 5:47.
Dalla Vecchia LK, Grosfeld JL, West KW, Rescorla FJ, Scherer LR, Engnum SA. Intestinal atresia and stenosis: A 25-year experience with 277 cases. Arch Surg. 1998; 133:490-6.
Soni V, Valse PD, Vyas S. Colonic atresia due to internal herniation through the falciparum ligament defect: A case report. J Neonatal Surg. 2014; 3:21.
Baglaj M, Carachi R, MacCormack B. Colonic atresia: a clinicopathological insight into its ethology. Eur J Pediatr Surg. 2010; 20:102-5.
Erskine JM. Colonic stenosis in the newborn: The possible thromboembolic ethology of intestinal stenosis and atresia. J Pediatr Surg. 1970; 5:321–33.
Fourcade L, Shimla H, Miyazaki E, Puri P. Multiple gastrointestinal atresia. Result from disturbed morphogenesis. Pediatr Surg Int. 2001; 17:361-4.
Fairbanks TJ, Sala FG, Kanard R, Curtis JL, Del Moral PM, De Langhe S, et al. The fibroblast growth factor pathway serves as a regulatory role in proliferation and apoptosis in the pathogenesis of intestinal atresia. J Pediatr Surg. 2006; 41:132-6.
Santulli TV, Blanc WA. Congenital atresia of the intestine: Pathogenesis and treatment. Ann Surg. 1961; 154:939-48.
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Copyright (c) 2021 Deepa P Makhija, Abhijit Kumar, Rahul K Gupta, Beejal V Sanghvi, Kedar P Mudkhedkar, Rujuta S Shah, Manish P Khobragade, Sandesh V Parelkar
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