Alcalá-Espinosa F, Macias-Urzúa LO, Graciano-Galindo MG, Orozco-Candanosa DA

Language: Spanish
References: 5
Page: 234-239
PDF size: 271.90 Kb.

ABSTRACT

Introduction: intestinal atresia is the most common cause of congenital intestinal obstruction; the diagnosis is usually made after birth, at the onset with abdominal distention, emesis, lack of stools, and is confirmated by a plain abdominal X ray. The prenatal diagnosis is made mainly with the elevation of alfa-feto protein, cariotype and ultrasound. We present two monocigotic diamniotic male twins, diagnosticated by prenatal ultrasound, both with intestinal atresia.
Cases report:/ Twin no. 1: male, preterm 36 WGA, 2640 grs birth weight, with secondary apnea. Intestinal atresia diagnosticated by ultrasound at 30 WGA, confirmated at birth by plain abdominal X ray. He underwent corrective surgery at 17 hrs. of extrauterinal life, by exploratory laparotomy, and reduction of the dilated segment in the atresia area (Tapering) and terminal-oblique anastomosis. Twin no. 2: Male, preterm, 36 WGE, 2490 birth weight, with intestinal atresia diagnosticated at 34 WGA by ultrasound, confirmated at birth with a plain abdominal X ray; with corrective surgery at twenty hours of extrauterinal life, by exploratory laparotomy, resection of the dilated segment in the atresic area an terminal-oblique anastomosis with satisfactory evolution.
Discussion: The atresia and yeyunoileal stenosis is a common pathology and can be associated with another congenital malformations or with acquired pathologies after birth; in both cases the clinical course allow us to diagnose and resolve these congenital malformations. These two cases are unique because they are monocigotic diamniotic twins, requiring coordinated attention of the following departments: radiology, gynecology, pediatric, pediatric surgery, and NICU. We emphasize the importance of the prenatal ultrasound as a diagnostic tool. Nowadays both twins are in perfect good health.

REFERENCES

1. Ashcroft Keith W. Cirugía Pediátrica 2da. Ed Interamericana 1993; 314-28.

2. Moore Keith L. Embriología Clínica. 3era Ed. Interamericana 1985; 139-144.

3. O’Neill James A. Pediatric Surgery Vol. 2, 5th. Ed. Mosby 1998; 1150-8.

4. Ziegler Moritz M. Operative Pediatric Surgery. 1st. Ed. McGraw-Hill Co. 2003; 589-95.

5. Vargas Origel Arturo et al. Programa de actualización continua en neonatología. Intersistemas 2003; 238.