An Isolated Tubular Intestinal Loop in a Neonate with Type II Intestinal Atresia

Soon-Ok Choi; Eunyoung Jung; Woo-Hyun Park

doi:10.14734/kjp.2013.24.3.191

Journal List > Korean J Perinatol > v.24(3) > 1013681

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Choi, Jung, and Park: An Isolated Tubular Intestinal Loop in a Neonate with Type II Intestinal Atresia

Case Report

Korean J Perinatol 2013;24(3):191-194.

Published online: 19 June 2013

DOI: https://doi.org/10.14734/kjp.2013.24.3.191

An Isolated Tubular Intestinal Loop in a Neonate with Type II Intestinal Atresia

Soon-Ok Choi, M.D., Ph.D., Eunyoung Jung, M.D., Woo-Hyun Park, M.D., Ph.D.

Department of Pediatric Surgery, Keimyung University Dongsan Medical Center, Daegu, Korea

주관책임자 : 최순옥, 700-712 대구광역시 중구 달성로 56번지계명대학교 의과대학 동산병원 소아청소년과학교실전화 : 053)250-7322, 전송 : 053)250-7322 E-mail : choi1635@dsmc.or.kr

Received 14 May 2013 Revised 31 August 2013 Accepted 2 September 2013

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

An isolated tubular intestinal loop (ITIL) means an anatomical or vascular communication with rest of the bowel loop and may provide an insight into the pathogenesis of intestinal atresia. We experienced a case of an ITIL identified in omentum of a 4-day-old neonate with type-II intestinal atresia. To our knowledge, this association has never been reported in the English literature. Omental wrapping of the incompletely resorbed ischemic bowel segment may explain this phenomenon in a case of congenital intestinal atresia.

Keywords: Isolated intestinal loop, Intestinal atresia, Neonate

REFERENCES

1). Louw JH., Barnard CN. Congenital intestinal atresia; observations on its origin. Lancet. 1955. 269:1065–7.

2). Nixon HH., Tawes R. Etiology and treatment of small intestinal atresia: analysis of a series of 127 jejunoileal atresias and comparison with 62 duodenal atresias. Surgery. 1971. 69:41–51.

3). Dalla Vecchia LK., Grosfeld JL., West KW., Rescorla FJ., Scherer LR., Engum SA. Intestinal atresia and stenosis: a 25-year experience with 277 cases. Arch Surg. 1998. 133:490–6. discussion 496-7.

4). Frischer J., Azizkhan R. Jejunoileal Atresia and Stenosis, in Pediatric Surgery. 7th ed.ed. Edited by Coran AG, Philadelphia, PA: Elsevier/Saunders;2012. p. p. 1059–71.

5). Abrams JS. Experimental intestinal atresia. Surgery. 1968. 64:185–91.

6). Dickinson SJ. Origin of intestinal atresia of newborn. JAMA. 1964. 190:119–21.

7). Shoshany G., Cohen E., Mordohovich D., Hayari L., Har-Shai Y., Bar-Maor JA. Creation of the isolated bowel segment in animals by omentoenteropexy. J Pediatr Surg. 1994. 29:1344–7.

Fig. 1

Operative findings of intestinal atresia showing type I atresia and a tubular structure (indicated by arrow) embedded in omentum, and a cord-like band (indicated by arrowhead).

Fig. 2

A longitudinal section of the atretic portion showed atresia with interruption of bowel continuity. A microscopic findings of the atretic part shows loss of continuity with separation by fibrous septum (inside box).

Fig. 3

Cross section of the tubular structure shows degenerated intestine with 4 layers with luminal obstruction (H&E stain).

TOOLS

Similar articles