Hereditary Multiple Intestinal Atresia: A Case Report and Review of the Literature.

Autor: Al-Zaiem MM; Department of Pediatric Surgery, Maternity and Children Hospital, Makkah, SAU., Alsamli RS; College of Medicine and Surgery, Umm Al-Qura University, Makkah, SAU., Alsulami EA; College of Medicine and Surgery, Umm Al-Qura University, Makkah, SAU., Mohammed RF; College of Medicine and Surgery, Umm Al-Qura University, Makkah, SAU., Almatrafi MI; College of Medicine and Surgery, Umm Al-Qura University, Makkah, SAU.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2022 Oct 30; Vol. 14 (10), pp. e30870. Date of Electronic Publication: 2022 Oct 30 (Print Publication: 2022).
DOI: 10.7759/cureus.30870
Abstrakt: Hereditary multiple intestinal atresia (HMIA) is a rare form of intestinal atresia that affects the gastrointestinal tract from the pylorus to the rectum. A few cases have been reported in the literature. Here, we report the case of a three-day-old girl who was referred to our hospital as a case of upper intestinal obstruction. After initial resuscitation, the radiological examination revealed pyloric obstruction, multiple intra-abdominal calcifications, and rectal atresia making the diagnosis of HMIA most likely. Exploratory laparotomy revealed multiple intestinal atresia, the first started at the pylorus, the second was at the level of the duodenojejunal junction, and there were also multiple small bowel atresias. The colon was a cord-like structure, and there was rectal atresia. Multiple resections of the atretic intestinal segment followed by multiple anastomoses, terminal ileostomy, and the use of a trans-anastomotic tube were performed. In this study, the clinical picture, radiological findings, and management are described and compared to the findings reported in the literature.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2022, Al-Zaiem et al.)
Databáze: MEDLINE