From the case:
Jejunal atresia
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Normal rotation with expected position of the DJ flexure.
From the case:
Jejunal atresia
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The abdominal x-ray demonstrates retained contrast in the stomach, duodenum and jejunum. Elsewhere there is some gaseous distension of bowel.
From the case:
Jejunal atresia
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Water-soluble enema. Normal rectosigmoid ratio. Colonic diameter is reduced. Contrast refluxes into the distal ileum. There are multiple filling defects.
Case Discussion
The child has taken to theater for a laparotomy and the cause was confirmed as jejunal atresia. Jejunal atresia is usually the result of an ischemic event with an acquired atresia. This explains why in some cases, there can be meconium filling defects in the colon.
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