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Colonic Atresia


Presentation

  • Authors present their experience with the present case and the pertinent literature.[ncbi.nlm.nih.gov]
Collapse
  • Figure 1: Discrepancy between proximal dilated bowel and distal collapsed ileal segment, V shape mesenteric defect. Figure 2: Ileal atresia with dilated proximal segment and collapsed distal segmeant.[madridge.org]
  • Type II has the blind ending proximal bowel attached to the collapsed and undelveloped distal bowel by a fibrous cord along the edge of mesentery. There is no mesenteric defect. c.[medcraveonline.com]
Sudden Infant Death Syndrome
  • Two additional patients died of sudden infant death syndrome (18%). Type I atresia was more common than in previously reported series and was associated with proximal multiple atresias.[ncbi.nlm.nih.gov]
  • infant death syndrome (SIDS) in the 1st and 2nd postoperative months.[slideheaven.com]
Absent Bowel Sounds
  • On admission at HOMI, the patient presented with markedly distended abdomen (Figure 1) with absent bowel sounds, normal position of the anus and no genital abnormalities. Figure 1. Severe abdominal distension before surgery.[revistas.unal.edu.co]
  • On admission at HOMI, the patient presented with markedly distended abdomen ( Figure 1 ) with absent bowel sounds, normal position of the anus and no genital abnormalities. Source: Own elaboration based on the data obtained in the study.[scielo.org.co]
Systolic Murmur
  • Heart examination showed audible ejection systolic murmurs, Echocardiography revealed atrial septal (ASD) 5mm. Abdominal examination showed marked abdominal distension accompanied by hypoactive intestinal sounds.[madridge.org]
Hepatic Mass
  • The sonogram was also able to accurately exclude the presence of ascites or a renal or hepatic mass as the cause for abdominal distention.[ncbi.nlm.nih.gov]
Torticollis
  • Case 3 A 2,050 Kg girl was was delivered after a full term pregnancy, on her first day of life she was admitted for neonatal occlusion Clinical examination showed torticollis with a limb malformation.[medcraveonline.com]
Frontal Bossing
  • Skin mottling, dysmorphic features (frontal bossing, law set ear, depressed nasal bridge, receding mandible). Chest examination was clinically free.[madridge.org]

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]
  • In patients with anastomotic dysfunction, conservative treatment of the obstruction followed after its resolution by gradually increased NG feeds, was the preferred treatment protocol.[jiaps.com]
  • 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.[revistas.unal.edu.co]

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.[revistas.unal.edu.co]
  • 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]
  • Associated alimentary tract malformations may result poor prognosis. Colonic atresia can safely be managed by colocolic anastomosis with covering ileostomy.[jneonatalsurg.com]
  • Overall prognosis is excellent.[mhmedical.com]

Etiology

  • 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]
  • Journal of Pediatric Surgery, 36, 1542-1545. [ 14 ] Louw, J. (1964) Investigation into the Etiology of Congenital Atresia of the Colon.[scirp.org]
  • 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]
  • 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]
Sex distribution
Age distribution

Pathophysiology

  • Newborn Surgery, Third Edition provides a comprehensive compendium of the pathophysiology, investigation and management of neonatal disorders.[books.google.de]

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]
  • Prevention - Colonic atresia Not supplied.[checkorphan.org]
  • 2011 14 Management of isolated and associated colonic atresia. ( 21327949 ) 2011 15 Colonic atresia: a clinicopathological insight into its etiology. ( 20027542 ) Baglaj M....MacCormack B. 2010 16 An alternative management option for colonic atresia preventing[malacards.org]

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