DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20170731

Acquired colonic atresia in a 4-month old term male infant: a rare case report

Kamal Nain Rattan, Gurupriya J., Shruti Bansal, Rohit Kapoor, Roomi Yadav

Abstract


Acquired colonic atresias are very rare but, are known in association with necrotizing enterocolitis. We report a case of a 4-month term male infant with recurrent episodes of abdominal distension, bilious vomiting and constipation off and on, without the history of necrotizing enterocolitis. Exploratory laparotomy was performed, an inflammatory mass with multiple dense interloop adhesions were found in the mid-transverse colon. These adhesions were lysed to identify the proximal dilated and distal blind end of the colon.  Rest of the gut was normal.  This case is unique for the fact that, it is a case of acquired colonic atresia without history of necrotizing enterocolitis, unlike other reported cases of acquired colonic atresia.


Keywords


Acquired intestinal atresia, Intestinal obstruction, Necrotizing enterocolitis

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References


Best KE, Tennant PW, Addor MC, Bianchi F, Boyd P, Calzolari E, et al. Epidemiology of small intestinal atresia: a register based study. Arch Dis Child Fetal Neonatal Ed. 2012;97(5):353.

Beardmore HE, Rodgers BM, Outerbridge E. Necrotizing enterocolitis (ischemic enteropathy) with the sequel of colonic atresia. Gastroenterol. 1978;74:914-7.

Mares AJ, Freud E, Efrati Y, Bar-Ziv J, Maor E. Acquired colonic atresia: a rare sequel of necrotizing enterocolitis. J Pediatr Gastroenterol Nutr. 1993;16(1):93-7.

Lee HJ, Na JY, Ha TK, Kim CR. Acquired Ileal atresia in a preterm infant. J Korean Soc Neonatal. 2012;19:46-50.

Fairbanks TJ, Karnard RC, Del Moral PM, Sala FG, De Lange SP, Lopez CA. Colonic atresia without mesenteric vascular occlusion. The role of fibroblast growth factor 10 signalling pathway. J Pediatr Surg. 2005;40(2):390-6.

Akinloye OW, Truong W, Giacomantonio M, Mateos D, El-Naggar W. Co-existence of meconium ileus with duodenal atresia and trisomy 21 in a newborn: a case report. J Perinatol. 2014;34:875-6.

Jona JZ. Acquired ileal atresia and spontaneous reconstitution of intestinal continuity in a premature infant with necrotizing enterocolitis. J Pediatr Surg. 2000;35:505-7.

Choi SO, Park WH, Kang JS. High jejunal obstruction as a sequelae of necrotizing enterocolitis. J Korean Med Sci. 1991;6(2):183-6.

Ratan SK, Rattan KN, Mathur SK, Maheshwari J, Seghal T. Acquired ileal atresia in infancy: a report of two cases. Ped Surg Int .2005;21:305.

Mandelia A, Agarwala S. Acquired jejunal atresia in a 2-month-old infant. J Clin Diagn Res. 2015;9(1):53-8.

Elemen L, Tugay M, Erkus B. Acquired ileal atresia because of adhesive small bowel obstruction. J Pediatr Surg. 2010;45:1383-5.

Bing L, Wei-bing C, Shou-qing W, Ye-bo W. Acquired ilael atresia induced by adhesive intestinal obstruction. Indian J Pediatr. 2014;81:507.

Osuoji R, Idika O, Odomeja E. Acquired ileal atresia complicating an ileocolic intussusception in a 4-month-old infant. J Pediatr Surg. 2011;46:13-4.