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01.12.2014 | Case report | Ausgabe 1/2014 Open Access

BMC Gastroenterology 1/2014

Intestinal obstruction due to dual gastrointestinal atresia in infants: diagnosis and management of 3 cases

Zeitschrift:
BMC Gastroenterology > Ausgabe 1/2014
Autoren:
Hua-dong Chen, Hong Jiang, Anna Kan, Li-e Huang, Zhi-hai Zhong, Zhi-chong Zhang, Jun-cheng Liu
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1471-230X-14-108) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

We declare that all the listed authors have participated actively in the study, and all meet the requirements of the authorship. J-CL reviewed the medical records and performed research. H-DC wrote the first draft of the manuscript and performed research. HJ and L-EH performed research. AK, Z-CZ, and Z-HZ managed the literature searches and analyses. All authors read and approved the final manuscript.

Abstract

Background

Several types of congenital lesions can cause complete or incomplete obstruction of the intestine. Our purpose is to present 3 neonates with dual intestinal type I atresia, i.e., simultaneous obstructive lesions at 2 locations in which the atresia manifested as diaphragm-like tissue.

Case presentation

All 3 cases were female infants ranging in age from 2 to 14 months. The common symptom in all cases was intermittent persistent vomiting. In some cases the vomitus was bilious, and other symptoms included abdominal distention and delayed meconium passage. Prior surgeries at another hospital were unsuccessful at relieving the symptoms in one case. One case had dual lesions in the colon, one dual lesions in the duodenum, and one atresia at both the distal portion of the ileum and the descending colon. Surgical exploration and removal of the lesions at our hospital was successful in all cases, and the infants were discharged in good condition.

Conclusions

Type I atresia can manifest as a diaphragm-like tissue obstructing the continuity of gastrointestinal tract, and in rare cases multiple areas may be present. Base on the intermittent nature of the associated symptoms, diagnosis can be difficult and is often delayed. Physicians should be aware of this condition during the work-up of an infant with persistent intermittent vomiting.
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