A Newborn Case of Congenital Segmental Dilatation of the Small Intestine Successfully Diagnosed Before Operation

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  • Ibuka Souji
    Department of Pediatric Surgery, Osaka Women’s and Children’s Hospital Department of Pediatric Surgery, National Hospital Organization Fukuyama Medical Center
  • Goda Taro
    Department of Pediatric Surgery, Izumiootu Municipal Hospital
  • Nara Keigo
    Department of Pediatric Surgery, Osaka Women’s and Children’s Hospital
  • Soh Hideki
    Department of Pediatric Surgery, Osaka Women’s and Children’s Hospital
  • Usui Noriaki
    Department of Pediatric Surgery, Osaka Women’s and Children’s Hospital

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Other Title
  • 術前検査により先天性限局性腸管拡張症と診断し得た1新生児例
  • 症例報告 術前検査により先天性限局性腸管拡張症と診断し得た1新生児例
  • ショウレイ ホウコク ジュツゼン ケンサ ニ ヨリ センテンセイ ゲンキョクセイ チョウカン カクチョウショウ ト シンダン シエタ 1 シンセイジレイ

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Abstract

<p>We report a case of congenital segmental dilatation of the small intestine in a newborn. A 3,042 g boy was delivered vaginally at 39 weeks and 6 days of gestation. No abnormality was detected in his prenatal ultrasonography. Since he had abdominal distention, he showed poor oral intake from his birth, and his body weight decreased significantly in the first three days. Although abdominal radiography showed a dilatation of the intestine on his right upper abdomen, intestinal gas was also detected in the colon and rectum; therefore, congenital intestinal atresia was ruled out. An upper gastrointestinal tract contrast study showed a normal jejunum without dilatation, and a gastrografin enema showed a normal colon without any dilatation. A long tube was passed through the dilated area the following day to reduce the pressure of the dilated intestine. We diagnosed him as having congenital segmental dilatation of the small intestine from these findings. The dilated area of the intestine was resected, and his postoperative course was uneventful. Although congenital segmental dilatation of the small intestine is rare in congenital gastrointestinal diseases, it was possible to prepare sufficiently for surgery on this patient owing to a confirmed preoperative diagnosis.</p>

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