Wassihun Nega
Bahirdar University, Ethiopia
Title: Successful surgery for a case of multiple jejuno-ilial atrasia with associated imperforated anus
Biography
Biography: Wassihun Nega
Abstract
Background: Intestinal atresia is a congenital condition in which the lumen of the intestine is occluded. The cause is still enigmatic but there are theories that try to explain the pathogenesis. Theories include ischemia in early development from utero-placental insufficiency and as part of VACTREL associations as it occurred in different chromosomal problems. Case Presentation: A 2800gm neonate is born from a para-vi mother at a gestational age of 36weeks.The mother had only two antenatal follow up. In the last two weeks before delivery she had excessive abdominal distension with shortness of breath from mechanical effect of the uterus. Obstetric ultrasound identified excess amniotic fluid with AFI of 37cms, with doubtful bowl obstruction. Delivery decided with cesarean section as it was breach presentation. The outcome was 2800gm male with APGAR of 8 & 9 in the 1st and 5th minutes, with imperforated anus. In the second day while investigations are underway the baby developed abdominal distension for which laparatomy was done to find five short segmented atretic areas with the average equal length After the surgery the baby was in good condition and is on follow up. The case is a rare condition and diagnosis and treatment will be discussed. Conclusion: Short bowl syndrome can be prevented with multiple anastomosis in congenital multiple atresias and interval surgery is appropriate in case of other associated anomalies for better out come.