Ileal atresia and total colonic aganglionosis.
Herein, the authors report a case of ileal atresia who failed to have good bowel function after primary anastomosis. After the leakage of the revised anastomosis, a thorough pathological review found distal aganglionosis. An ileostomy followed by an ileocolic patch operation were performed for temporary decompression, awaiting intestinal adaptation. A definitive pull-through was performed, eight months later. The child also had bilateral cleft lip together with complete cleft palate, and hemivertebrae of the thoracic spines. A cluster of malformations is unusual in a single patient.
Sangkhathat
Surasak
S
Pediatric Surgery Unit, Department of Surgery, Faculty of Medicine, Prince of Songkla University, Songkhla, 90110, Thailand.
Patrapinyokul
Sakda
S
Donsakul
Nara
N
D000015:Abnormalities, Multiple / Q000175:diagnosis* / Q000628:therapy; D003951:Diagnostic Errors / Q000517:prevention & control; D013505:Digestive System Surgical Procedures; D006627:Hirschsprung Disease / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007082:Ileum / Q000002:abnormalities*; D007231:Infant, Newborn; D007409:Intestinal Atresia / Q000150:complications / Q000601:surgery*; D008297:Male; D012086:Reoperation; D016896:Treatment Outcome