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Herniation through the falciform ligament: an unusual cause of ileal atresia

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Case report

A male neonate who was delivered at term by normal abdominal delivery was brought to our hospital on the eighth day of life with complaints of bilious vomiting and abdominal distension. He was referred to us after being kept in a local hospital for 4 days, without oral intake, with a nasogastric tube in place and receiving intravenous fluids. He was passing small amounts of mucus per anus, which was inadvertently mistaken for stool by the parents and even the health workers in the periphery.

Discussion

Intestinal atresia has generally been considered because of intrauterine vascular disruptions in a segment of the developing intestine [1], [9], [10], [11]. Vascular accidents have been reported to account for 25% of small bowel atresias [2]. Disruptive events such as volvulus, constriction, herniation, intussusception, and congenital vascular band have been reported in patients with intestinal atresia [10], [11], [12], [13], [14], [15]. The other cause postulated is that of mechanical

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