Ponce-Rosas A, Ávila-Zaragoza LM, Jiménez-Urueta PS, Castañeda-Ortiz RA

Language: Spanish
References: 6
Page: 87-89
PDF size: 121.19 Kb.

ABSTRACT

Introduction. Intestinal atresia is the most common cause of complete obstruction in newborns; it is present in 1 of 15 to 20 thousand born alive children. Anomalies of the small intestine constitute 95% of the cases. Colon atresia is a rare condition. Diagnosis must be done with colon by enema.
Case report. Newborn boy with a history of polyhydraminios who presented with gastrobilliar vomit the first day of life; abdominal distension and intestinal loop drawings. Abdomen X ray showed bowel loops distension, diminished air-fluid levels and distal pneumatization. A colon by enema showed a microcolon and obstruction in the hepatic angle. A laparotomy confirmed colon atresia in the splenic angle with a mesenteric “V” shape defect.
Discussion. A history of polyhydramnios should lead to suspect intestinal malformations; gastrobilliar vomit suggests an intestinal obstruction usually of the small intestine. Radiologic images confirm the diagnosis; the colon by enema is the only study that shows the obstruction.

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