title: Acquired ileal atresia complicating an ileocolic intussusception in a 4-month-old infant.
abstract: We report a 4-month-old female infant who was apparently well before the onset of vomiting, abdominal distension, and the passage of red currant jelly stools. A clinical diagnosis of intussusception was made, and the infant was prepared for a laparotomy. Intraoperative findings were a gangrenous ileocolic intussusception with a proximal atretic ileal segment (similar to a type IIIa ileal atresia). An extended right hemicolectomy including the atretic ileal segment was done with an ileotransverse anastomosis to establish bowel continuity. The patient had a wound dehiscence on the fourth postoperative day that was repaired. She subsequently made satisfactory clinical recovery and was discharged on the 10th day.
authors.affiliation: Department of Surgery, Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria. drosuoji@yahoo.com
authors.forename: Roland
authors.initials: R
authors.lastname: Osuoji
authors.forename: Ogechukwu
authors.initials: O
authors.lastname: Idika
authors.forename: Edwin
authors.initials: E
authors.lastname: Odomeja
authors.forename: Akin
authors.initials: A
authors.lastname: Bankole
mesh_terms: D000714:Anastomosis, Surgical; D003082:Colectomy / Q000379:methods; D003108:Colonic Diseases / Q000150:complications* / Q000601:surgery; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000150:complications* / Q000601:surgery; D007082:Ileum / Q000601:surgery; D007223:Infant; D007409:Intestinal Atresia / Q000150:complications / Q000601:surgery; D007421:Intestine, Small / Q000002:abnormalities / Q000601:surgery; D007443:Intussusception / Q000150:complications* / Q000601:surgery; D016896:Treatment Outcome