Ileal atresia - proximal

Case contributed by Dr Paresh K Desai

Presentation

Abdominal distension.

Patient Data

Age: 11 days
X-ray

Multiple dilated proximal small bowel loops with multiple air-fluid levels.

Barium

No evidence of microcolon or stenosis.

Case Discussion

Initial radiograph shows features of distal small bowel obstruction.

A contrast enema performed ruled out a microcolon.

Child symptomaticaly worsened over a period of time, was operated. Confirmed to be atresia of the proximal ileum.

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