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Boletín Médico del Hospital Infantil de México

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2011, Number 5

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Bol Med Hosp Infant Mex 2011; 68 (5)

Congenital stenosis of the ileum in a 5-month-old infant with intestinal obstruction syndrome

Chi AD, Cobos EG
Full text How to cite this article

Language: Spanish
References: 9
Page: 380-384
PDF size: 324.04 Kb.


Key words:

intestinal atresia, intestinal stenosis, intestinal obstruction.

ABSTRACT

Background. Intestinal atresia refers to complete obstruction or partial stenosis of the intestinal lumen. The prevalence is 1/4000-5000 births, without gender predilection. When the blockage is incomplete, signs such as vomiting, abdominal distension, and constipation may occur shortly after birth or delayed in an unspecified manner. In intestinal atresia, the challenge may not be significant; however, stenosis may pose considerable difficulties. Obstructive syndrome must be ruled out in infant congenital intestinal stenosis. Even more rare cases have occurred during later ages.
Case Report. We report on a 5-month-old female infant with clinical symptoms of intestinal obstruction, which was managed surgically. Surgical finding was a congenital stricture of the ileum. The patient recovered without complications.
Conclusions. Obstructive syndrome in infant intestinal stenosis is a rare entity, which is usually not first suspected, but it should be ruled out as a study protocol for intestinal obstruction.


REFERENCES

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  2. Jiménez UP, Estrada MA, Gallego GJ. Estenosis duodenal congénita de presentación tardía: informe de tres casos. Rev Mex Cir Pediatr 2003;3:152-157.

  3. Komuro H, Hori T, Amagai T, Hirai M, Yotsumoto K, Urita Y, et al. The etiologic role of intrauterine volvulus and intussusceptions in jejunoileal atresia. J Pediatr Surg 2004;39:1812-1814.

  4. Stringer DA, Nadel H. Techniques for investigation of the pediatric gastrointestinal tract. En: Stringer DA, Babyn PS, eds. Pediatric Gastrointestinal Imaging and Intervention. Hamilton Ontario, BC: Decker; 2000. pp. 15-74.

  5. Langer JC. Abdominal wall defects. World J Surg 2003;27:117-124.

  6. Swischuk LE. Radiología en el niño y en el recién nacido. Madrid: Marbán; 2005. pp. 541-544.

  7. Shalkow J. Quiros JA, Shorter N. Small intestinal atresia and stenosis. eMedicine Journal (online) 2004. Disponible en: http://emedicine.medscape.com/article/939258-overview

  8. Dalla Vecchia LK, Grosfeld JL, West KW, Rescorla FJ, Scherer LR, Engum SA. Intestinal atresia and stenosis: a 25-year experience with 277 cases. Arch Surg 1998;133:490-497.

  9. Strauch ED, Hill JL. Intestinal atresia. En: Ziegler M, Azizkhan G, eds. Operative Pediatric Surgery. New York: McGraw Hill; 2003. pp. 590-593.




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Bol Med Hosp Infant Mex. 2011;68