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Hereditary Multiple Intestinal Atresia: A Case Report and Review of the Literature
Hereditary multiple intestinal atresia (HMIA) is a rare form of intestinal atresia that affects the gastrointestinal tract from the pylorus to the rectum. A few cases have been reported in the literature. Here, we report the case of a three-day-old girl who was referred to our hospital as a case of...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9707341/ https://www.ncbi.nlm.nih.gov/pubmed/36457629 http://dx.doi.org/10.7759/cureus.30870 |
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author | Al-Zaiem, Maher M Alsamli, Rawan S Alsulami, Ethar A Mohammed, Ruba F Almatrafi, Mohammad I |
author_facet | Al-Zaiem, Maher M Alsamli, Rawan S Alsulami, Ethar A Mohammed, Ruba F Almatrafi, Mohammad I |
author_sort | Al-Zaiem, Maher M |
collection | PubMed |
description | Hereditary multiple intestinal atresia (HMIA) is a rare form of intestinal atresia that affects the gastrointestinal tract from the pylorus to the rectum. A few cases have been reported in the literature. Here, we report the case of a three-day-old girl who was referred to our hospital as a case of upper intestinal obstruction. After initial resuscitation, the radiological examination revealed pyloric obstruction, multiple intra-abdominal calcifications, and rectal atresia making the diagnosis of HMIA most likely. Exploratory laparotomy revealed multiple intestinal atresia, the first started at the pylorus, the second was at the level of the duodenojejunal junction, and there were also multiple small bowel atresias. The colon was a cord-like structure, and there was rectal atresia. Multiple resections of the atretic intestinal segment followed by multiple anastomoses, terminal ileostomy, and the use of a trans-anastomotic tube were performed. In this study, the clinical picture, radiological findings, and management are described and compared to the findings reported in the literature. |
format | Online Article Text |
id | pubmed-9707341 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-97073412022-11-30 Hereditary Multiple Intestinal Atresia: A Case Report and Review of the Literature Al-Zaiem, Maher M Alsamli, Rawan S Alsulami, Ethar A Mohammed, Ruba F Almatrafi, Mohammad I Cureus Pediatric Surgery Hereditary multiple intestinal atresia (HMIA) is a rare form of intestinal atresia that affects the gastrointestinal tract from the pylorus to the rectum. A few cases have been reported in the literature. Here, we report the case of a three-day-old girl who was referred to our hospital as a case of upper intestinal obstruction. After initial resuscitation, the radiological examination revealed pyloric obstruction, multiple intra-abdominal calcifications, and rectal atresia making the diagnosis of HMIA most likely. Exploratory laparotomy revealed multiple intestinal atresia, the first started at the pylorus, the second was at the level of the duodenojejunal junction, and there were also multiple small bowel atresias. The colon was a cord-like structure, and there was rectal atresia. Multiple resections of the atretic intestinal segment followed by multiple anastomoses, terminal ileostomy, and the use of a trans-anastomotic tube were performed. In this study, the clinical picture, radiological findings, and management are described and compared to the findings reported in the literature. Cureus 2022-10-30 /pmc/articles/PMC9707341/ /pubmed/36457629 http://dx.doi.org/10.7759/cureus.30870 Text en Copyright © 2022, Al-Zaiem et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Pediatric Surgery Al-Zaiem, Maher M Alsamli, Rawan S Alsulami, Ethar A Mohammed, Ruba F Almatrafi, Mohammad I Hereditary Multiple Intestinal Atresia: A Case Report and Review of the Literature |
title | Hereditary Multiple Intestinal Atresia: A Case Report and Review of the Literature |
title_full | Hereditary Multiple Intestinal Atresia: A Case Report and Review of the Literature |
title_fullStr | Hereditary Multiple Intestinal Atresia: A Case Report and Review of the Literature |
title_full_unstemmed | Hereditary Multiple Intestinal Atresia: A Case Report and Review of the Literature |
title_short | Hereditary Multiple Intestinal Atresia: A Case Report and Review of the Literature |
title_sort | hereditary multiple intestinal atresia: a case report and review of the literature |
topic | Pediatric Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9707341/ https://www.ncbi.nlm.nih.gov/pubmed/36457629 http://dx.doi.org/10.7759/cureus.30870 |
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