Email updates

Keep up to date with the latest news and content from BMC Gastroenterology and BioMed Central.

Open Access Case report

Intestinal obstruction due to dual gastrointestinal atresia in infants: diagnosis and management of 3 cases

Hua-dong Chen1, Hong Jiang1, Anna Kan2, Li-e Huang1, Zhi-hai Zhong1, Zhi-chong Zhang1 and Jun-cheng Liu1*

Author Affiliations

1 Pediatric Surgery Department of the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China

2 Hepatobiliary Surgery Department of the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China

For all author emails, please log on.

BMC Gastroenterology 2014, 14:108  doi:10.1186/1471-230X-14-108

Published: 13 June 2014

Abstract

Background

Several types of congenital lesions can cause complete or incomplete obstruction of the intestine. Our purpose is to present 3 neonates with dual intestinal type I atresia, i.e., simultaneous obstructive lesions at 2 locations in which the atresia manifested as diaphragm-like tissue.

Case presentation

All 3 cases were female infants ranging in age from 2 to 14 months. The common symptom in all cases was intermittent persistent vomiting. In some cases the vomitus was bilious, and other symptoms included abdominal distention and delayed meconium passage. Prior surgeries at another hospital were unsuccessful at relieving the symptoms in one case. One case had dual lesions in the colon, one dual lesions in the duodenum, and one atresia at both the distal portion of the ileum and the descending colon. Surgical exploration and removal of the lesions at our hospital was successful in all cases, and the infants were discharged in good condition.

Conclusions

Type I atresia can manifest as a diaphragm-like tissue obstructing the continuity of gastrointestinal tract, and in rare cases multiple areas may be present. Base on the intermittent nature of the associated symptoms, diagnosis can be difficult and is often delayed. Physicians should be aware of this condition during the work-up of an infant with persistent intermittent vomiting.

Keywords:
Type I Atresia; Gastrointestinal diaphragm; Congenital; Intestinal obstruction; Infant