Presentation
Authors present their experience with the present case and the pertinent literature. [ncbi.nlm.nih.gov]
Hence, we present a case of a 2-day-old infant with additional features of extensive micro colon. Case Report A 2-day-old boy presented with progressive abdominal distension, bilious vomiting and no passage of meconium since birth. [wajradiology.org]
Entire Body System
- Sepsis
Sepsis and septicemia was managed by appropriate changes in antibiotic therapy. One child had Escherischia Coli septicemia and another had Klebsiella sepsis. Overwhelming Candida sepsis occurred in one patient of type I CA. [jiaps.com]
meningitis Died ± Santulli op., afterward colostomy closure Double barrel ostomy ± ± ± ± ± Loss of follow-up Alive Died due to sepsis Alive Died due to sepsis Died ± Closed perforation ± Sepsis Iatrogenic jejunal perforations Leak and sepsis ± ± Died [slideheaven.com]
Two patients died: one because of severe neonatal sepsis and the other because of severe cardiac anomalies. One patient developed anastomotic leakage and another had anastomotic dysfunction. [ajol.info]
The morbidity and mortality depend on several factors such as delay in diagnosis and treatment, nutritional status, sepsis, or associated anomalies [2]. [medcraveonline.com]
Death is currently caused by severe associated anomalies in infants with duodenal atresia and sepsis and total parenteral nutrition-related cholestasis with progressive liver failure in instances of jejunoileal atresia. [scienceopen.com]
Respiratoric
- Pneumonia
The resultant high incidence of preoperative hypovolemia, dehydration, electrolyte imbalance, sepsis, pneumonia and unconjugated hyperbilirubinemia, undoubtedly has an adverse effect on the prognosis. [2], [14] Late referral of patients, initially admitted [jiaps.com]
Gastrointestinal
- Bilious Vomiting
A case of congenital colonic atresia is reported in a full-term neonate who presented with delayed passage of meconium, abdominal distention and bilious vomiting. [ncbi.nlm.nih.gov]
A 2-day-old term female baby presented with abdominal distention, bilious vomiting, and failure to pass meconium since birth. On rectal examination, a red rubber catheter could be passed up to 5 cm. [jiaps.com]
A 2-day-old female was admitted with severe abdominal distention, bilious vomiting and failure to pass meconium. A distended abdomen accompanied by… CONTINUE READING [semanticscholar.org]
- Intestinal Perforation
Overview MeSH Major Ascites Colon Intestinal Atresia Intestinal Perforation abstract An isolated fetal ascites is a rare ultrasonographic finding. [vivo.med.cornell.edu]
In addition, evidence of intrauterine intestinal perforation with multiple adhesions and localized meconium peritonitis, often with matting of small intestinal loops, was noted in 12 patients (26%). [jiaps.com]
[…] in a series of nine cases. 8 Nevertheless, mortality may increase to 100% if treatment is delayed beyond 72 hours, considering the risk of intestinal perforation and peritonitis. 6 CLINICAL CASE A 3 day-old female newborn, with a gestational age of 40 [scielo.org.co]
The other proposed theories are failure of recanalization, intestinal perforation, drugs and environmental factors. [jneonatalsurg.com]
- Abdominal Pain
[…] a abdominal clamping腹部痙攣 abdominal irrigation腹腔内洗浄 abdominal pain (pain of abdomen)腹痛 abdominal paracentesis腹腔穿刺 abdominal trauma腹部外傷 aberrant bile duct 迷入胆管〈=Luschka管〉 abnormal contraction異常収縮 abscess 膿瘍 absorption吸収 accessory pancreatic duct副膵管 acinar [tokyo-med.ac.jp]
Cardiovascular
- Cyanosis
Physical examination showed pale neonate without jaundice or cyanosis. Skin mottling, dysmorphic features (frontal bossing, law set ear, depressed nasal bridge, receding mandible). Chest examination was clinically free. [madridge.org]
Liver, Gall & Pancreas
- Jaundice
Breakdown product of fat digestion spelling: a. jaundice b. jawndice c. jaundise Menstrual discharge: a. Dysmenorrhea b. Hematemesis c. Menorrhagia d. Menorrhea e. [quizlet.com]
Their abdomen may appear swollen but soft and their skin may develop a yellow tinge (jaundice). All newborn babies have meconium in their bowel. This is the dark faeces passed in the first day of life. [gosh.nhs.uk]
Physical examination showed pale neonate without jaundice or cyanosis. Skin mottling, dysmorphic features (frontal bossing, law set ear, depressed nasal bridge, receding mandible). Chest examination was clinically free. [madridge.org]
[…] gallstone[s] (hepatolithiasis, intrahepatic calculus (calculi))肝内結石[症] intraperitoneal abscess of abdomen (abdominal abscess) 腹腔内膿瘍 intussusception腸重積 irradiation pain放散痛 irritable bowel syndrome (irritable colon syndrome)過敏性腸症候群 irritable colon刺激性結腸 j jaundice [tokyo-med.ac.jp]
Seven months later, the patient was readmitted for cholestatic jaundice, abdominal ultrasound showed dilated intra hepatic biliary ducts. An MRI with cholangiography showed a distended principal biliary duct with a free stone gallbladder. [medcraveonline.com]
Treatment
Because colonic atresia and stenosis are lethal conditions when untreated, early diagnosis and operative treatment are major requisites for survival. [ncbi.nlm.nih.gov]
Their treatment is surgical, by abdominal or sacro-perineal approach. [jpss.eu]
Early treatment is imperative as mortality of this disease increases considerably 72 hours after birth. [scielo.org.co]
Why choose us for treatment of colonic atresia? Finding out that your baby may have colonic atresia can be distressing, especially if there are other health problems. [childrenscolorado.org]
Prognosis
Good prognosis has been described in patients with timely treatment. Case report: This paper reports the case of a newborn patient presenting with vomit, abdominal distension, failure to pass meconium and a rapid progressive clinical deterioration. [scielo.org.co]
Overall prognosis is excellent. [obgyn.mhmedical.com]
The prognosis is usually favorable unless associated with other anomalies like multiple small intestinal atresias and pyloric atresia. [3] The name "Annular pancreas" was first suggested by Esker in 1862. [jiaps.com]
Prognosis - Colonic atresia Not supplied. [checkorphan.org]
Etiology
Journal of Pediatric Surgery, 36, 1542-1545. http://dx.doi.org/10.1053/jpsu.2001.27040 [ 14 ] Louw, J. (1964) Investigation into the Etiology of Congenital Atresia of the Colon. [scirp.org]
Although multiple etiologies have been postulated for HAA, congenital structural anomalies are rarely observed except in cases associated with some hereditary syndromes. [ncbi.nlm.nih.gov]
Etiology (Examples) congenital varicella syndrome ( 12862351 ) See also Atresias digestive atresias References Sauve RS, Leung AK. Congenital varicella syndrome with colonic atresias. Clin Pediatr (Phila). 2003 Jun;42(5):451-3. [humpath.com]
This may in fact share an etiology similar to duodenal atresia - namely failure of recanalization. [pedsurglibrary.com]
Epidemiology
The anomalies are organized by anatomical system and presented in a consistent manner, including details of the clinical presentation, epidemiology, embryology, treatment and prevention for each anomaly. [books.google.es]
Clinical and epidemiologic notes Large intestinal atresia is rare, with an estimated birth prevalence of approximately 1 in 20 000 births. This condition represents less than 10% of all intestinal atresias. [cdc.gov]
Journal Journal ID (nlm-ta): Pan Afr Med J Journal ID (publisher-id): pamj Title: The Pan African Medical Journal Publisher: African Field Epidemiology Network ISSN (Print): 1937-8688 ISSN (Electronic): 1937-8688 Publication date Collection: 2010 Publication [scienceopen.com]
Harris J, Källén B, Robert E (1995) Descriptive epidemiology of alimentary tract atresia. Teratology 52: 15-29. Kim PC, Superina RA, Ein S (1995) Colonic atresia combined with Hirschsprung’s disease: a diagnostic and therapeutic challenge. [omicsonline.org]
[…] neonatal intestinal obstruction in developed countries and ranks the fourth most common cause of neonatal intestinal obstruction in Zaria, Northern Nigeria after anorectal malformation, Hirschprung disease and strangulated inguinal hernia. [2] In an epidemiologic [wajradiology.org]
Pathophysiology
Newborn Surgery, Third Edition provides a comprehensive compendium of the pathophysiology, investigation and management of neonatal disorders. [books.google.de]
Pathophysiology and Etiology The feature common to both atresia and stenosis is intestinal blockage, either partial or complete. In colonic atresia, the problem is complete bowel obstruction. [emedicine.medscape.com]
Prevention
The aim of the study is to preserve bowel length and prevent the long-term complications of short bowel syndrome. [ncbi.nlm.nih.gov]
The anomalies are organized by anatomical system and presented in a consistent manner, including details of the clinical presentation, epidemiology, embryology, treatment and prevention for each anomaly. [books.google.es]
Using the tube, we remove excess air and fluids to relieve swelling, reduce the risk of a perforation of the intestine and prevent vomiting. Your baby receives intravenous (IV) fluids and electrolytes (essential minerals) to prevent dehydration. [childrenscolorado.org]
Prevention - Colonic atresia Not supplied. [checkorphan.org]