Small bowel atresia

Case contributed by A.Prof Frank Gaillard

Presentation

Abdominal distension.

Patient Data

Age: Neonate
X-ray

Marked distention of bowel. The more proximal small bowel appears significantly distended when compared to the more distal small bowel. 

Fluoroscopy

Barium enema

A relatively normal caliber rectum is identified. The colon appears small and unused, demonstrating several small filling defects in the sigmoid, proximal transverse and ascending portions. Contrast did opacify the appendix and passed into a normal-appearing non-dilated terminal ileum. 

Case Discussion

The findings are most consistent with a mid-to-distal small bowel atresia with a small colon, findings confirmed at surgery. 

 

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Case information

rID: 5959
Published: 2nd Apr 2009
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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