Limits...
Proximal Ileal Atresia

Afiesimama BOA - MedPix (2007)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Proximal Ileal Atresia

History: Patient is a six-hour-old 3870 gram white female born at 40+ weeks EGA to a 38 year-old G2P1-2 caucasian female via a normal spontaneous vaginal delivery. Later that same day the child was noted to have several episodes of bilious emesis. Suctioning of the gastric contents at this time revealed 25-30cc of feculent-green material. She was then transferred to another hospital for evaluation by a pediatric surgeon. Child has no family history of cystic fibrosis

Findings: KUB/AP and Left Cross Table Lateral: There is an enteric tube that follows the course of the esophagus and has its tip overlying the body of the stomach on the lateral view. On the KUB, the enteric tube is coiled such that the tip overlies the lower esophagus. On the KUB, the stomach is situated normally, but is markedly distended. Approximately 7 air-filled loops of moderately distended small bowel are visible in the LLQ/LUQ. There is no free air visualized within the peritoneum. The bowel mucosa is not appreciably thickened. No stool is visualized within the bowel; there is no evidence of "soap bubbles" and no submucosal air is visualized. Bowel loops are conspicuously absent from the RLQ; however there are several small flecks of calcification in the RLQ just cephalad and lateral to the right iliac crest on the KUB. No large bowel or rectal air is noted. The soft tissues of the abdomen and pelvis, and the osseous structures are otherwise unremarkable.

Ddx: Ileal Atresia Meconium ileus Hirschprung's Disease Volvulus Intussusception Incarcerated hernias

Exam: The child was afebrile with stable vital signs, and was non-septic in appearance . Abnormal findings of physical exam revealed mild grunting with respirations with otherwise clear lung sounds; the abdomen was mildly distended (girth 14 inches), with rare bowel sounds which were high-pitched in the RLQ, soft to palpation with a palpable loop of bowel in the epigastrium; she had a patent anus. The child was otherwise normal

No MeSH data available.


See case description
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=MPX1680&req=5

MPX1680_synpic38235: See case description


Proximal Ileal Atresia

Afiesimama BOA - MedPix (2007)

See case description
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1680&req=5

MPX1680_synpic38235: See case description

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Proximal Ileal Atresia

History: Patient is a six-hour-old 3870 gram white female born at 40+ weeks EGA to a 38 year-old G2P1-2 caucasian female via a normal spontaneous vaginal delivery. Later that same day the child was noted to have several episodes of bilious emesis. Suctioning of the gastric contents at this time revealed 25-30cc of feculent-green material. She was then transferred to another hospital for evaluation by a pediatric surgeon. Child has no family history of cystic fibrosis

Findings: KUB/AP and Left Cross Table Lateral: There is an enteric tube that follows the course of the esophagus and has its tip overlying the body of the stomach on the lateral view. On the KUB, the enteric tube is coiled such that the tip overlies the lower esophagus. On the KUB, the stomach is situated normally, but is markedly distended. Approximately 7 air-filled loops of moderately distended small bowel are visible in the LLQ/LUQ. There is no free air visualized within the peritoneum. The bowel mucosa is not appreciably thickened. No stool is visualized within the bowel; there is no evidence of "soap bubbles" and no submucosal air is visualized. Bowel loops are conspicuously absent from the RLQ; however there are several small flecks of calcification in the RLQ just cephalad and lateral to the right iliac crest on the KUB. No large bowel or rectal air is noted. The soft tissues of the abdomen and pelvis, and the osseous structures are otherwise unremarkable.

Ddx: Ileal Atresia Meconium ileus Hirschprung's Disease Volvulus Intussusception Incarcerated hernias

Exam: The child was afebrile with stable vital signs, and was non-septic in appearance . Abnormal findings of physical exam revealed mild grunting with respirations with otherwise clear lung sounds; the abdomen was mildly distended (girth 14 inches), with rare bowel sounds which were high-pitched in the RLQ, soft to palpation with a palpable loop of bowel in the epigastrium; she had a patent anus. The child was otherwise normal

No MeSH data available.