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Delayed Presentation of Congenital Jejunal Web beyond the Neonatal Period
Case Reports in Gastroenterology ( IF 0.5 ) Pub Date : 2021-06-21 , DOI: 10.1159/000516685
Mostafa Zain 1 , Ahmed Khairi 1 , Mohamed Abouheba 1
Affiliation  

Congenital web of the gastrointestinal tract is a rare anomaly which may present at any site of the gastrointestinal tract. In cases with an intact membrane, the presenting symptoms may take the form of complete intestinal obstruction while in other cases with a fenestrated membrane, it may present with partial intestinal obstruction such as failure to thrive, volume depletion, or poor body-weight gain, representing a chronic condition. It is very rare for a jejunal web to present with retention of accidently ingested foreign body. In this report, we document a case of 14-month boy with retention of accidently ingested button battery who was found to have a jejunal web on surgical exploration. This case report stresses on the importance of prevention of ingestion of inanimate foreign bodies especially in young infants and that the absence of symptoms does not preclude presence of foreign body in children. Also, surgeons should be prepared to deal with other unsuspected findings intraoperatively. After a review of the literature, jejunal web should be considered in the differential diagnosis of chronic partial intestinal obstruction even in adults.
Case Rep Gastroenterol 2021;15:545–550


中文翻译:

新生儿期后先天性空肠网的延迟呈现

先天性胃肠道网是一种罕见的异常,可能出现在胃肠道的任何部位。在膜完整的情况下,出现的症状可能表现为完全性肠梗阻,而在其他有孔膜的情况下,可能出现部分肠梗阻,例如发育迟缓、容量不足或体重增加不良,代表慢性病。空肠蹼出现意外摄入异物的情况非常罕见。在本报告中,我们记录了一个 14 个月大的男孩的病例,他在手术探查中发现了一个空肠蹼蹼。本病例报告强调了预防摄入无生命异物的重要性,尤其是在小婴儿中,并且没有症状并不排除儿童中异物的存在。此外,外科医生应准备好在术中处理其他未预料到的发现。在查阅文献后,即使在成人中,在慢性部分性肠梗阻的鉴别诊断中也应考虑空肠蹼。
Case Rep Gastroenterol 2021;15:545–550
更新日期:2021-06-21
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