Jejunal atresia

Case contributed by Dr Hisham Alwakkaa

Presentation

Premature newborn (35 weeks) with polyhydramnios on antenatal imaging.

Patient Data

Age: 0 day
Gender: Female
X-ray

Abnormal bowel gas pattern

Frontal chest and abdomen Radiograph:

  • There is an enteric tube with its tip terminating in the stomach.
  • Diffuse hazy opacity in both lungs. 
  • There is gaseous distention of the stomach, duodenum and proximal jejunum with abrupt cut-off at the level of mid abdomen. No bowel gas seen distal to this point.
  • No other significant findings appreciated.

These findings are consistent with jejunal atresia with the classic triple bubble appearance.

Case Discussion

This is a case of surgically-confirmed proximal jejunal atresia. Abdominal radiography shows three dilated bowel loops, with no gas in the rest of abdomen. The patient was diagnosed prenatally. Contrast enema was done and showed normal colon.

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Case information

rID: 56231
Case created: 19th Oct 2017
Last edited: 9th Nov 2017
Inclusion in quiz mode: Included
Institution: Women and children Hospital of Buffalo

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