
Apple-peel atresia presenting as foetal intestinal obstruction
Author(s) -
Ashok Y Kshirsagar,
Sushama Desai,
Mayur Nagvekar,
Gaurav Vasisth
Publication year - 2011
Publication title -
african journal of paediatric surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.163
H-Index - 17
eISSN - 0189-6725
pISSN - 0974-5998
DOI - 10.4103/0189-6725.86072
Subject(s) - medicine , exploratory laparotomy , intestinal atresia , anastomosis , atresia , laparotomy , ultrasonography , fetus , prenatal ultrasound , ascending colon , surgery , bowel obstruction , prenatal diagnosis , resection , gastroenterology , pregnancy , biology , genetics
Apple-peel atresia or Type 3 jejuno-ileal atresia (JIA) is an uncommon cause of foetal intestinal obstruction. Bowel obstruction in the foetus is diagnosed on the prenatal ultrasonography only in 50% cases. We report a case in which foetal intestinal obstruction was diagnosed on prenatal ultrasonography. The child showed signs of intestinal obstruction on day one after birth, for which an exploratory laparotomy was performed. Type 3 JIA was found for which resection of atretic segments with jejuno-ascending colon anastomosis was preformed.