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Abstract

Advancements in Case Studies

A Newborn Presenting With Bilious Vomiting: A Case Report Of A Jejunal Atresia

  • Open or Close Joo Y Cho1* and Valerie Plant2

    1Department of Radiology, Children’s Hospital of Richmond, USA

    2Department of Surgery, Virginia Commonwealth University Medical Center, USA

    *Corresponding author: Joo Y. Cho, MD, Department of Radiology, Children’s Hospital of Richmond, 1200 East Broad Street, West Hospital, Richmond, Virginia 23298-0615, USA

Submission: September 26, 2017; Published: December 07, 2017

DOI: 10.31031/AICS.2017.01.000502

ISSN 2639-0531
Volume1 Issue1

Abstract

Jejunal atresia is a relatively rare cause of proximal small bowel obstruction with incidence of 1-3 per 10,000 live births.The condition is caused by in utero vascular insult, and it occurs more commonly in the proximal jejunum. These patients present with abdominal distention and bilious emesis. Workup usually starts with an abdominal radiograph, which will show dilated stomach and proximal bowel loops. An UGI is performed to exclude midgut volvulus and determine a more precise location of obstruction. Once the diagnosis is made, definitive treatment is surgical resection of the atretic segment and primary anastomosis. Malrotation with midgut volvulus is an important differential diagnosis to exclude, which is a surgical emergency.

Keywords: Jejunal atresia; Duodenojejunal junction; Midgut volvulus; In utero vascular insult

Abbreviations: UGI: Upper Gastrointestinal; DJJ: Duodenojejunal Junction; APGAR: Appearance, Pulse, Grimace, Activity, and Respiration

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