title: Apple peel deformity of the small bowel without atresia in a congenital mesenteric defect.
abstract: Congenital mesenteric defects are rare causes of bowel obstruction. Even rarer are mesenteric defects with an apple peel type of deformity, probably described definitively only once previously. We present a case of a 3 year old boy who presented with a septic-like picture of severe metabolic acidosis and lethargy from a bowel obstruction with bowel ischemia. At laparotomy he was found to have bowel infarction due to herniation through a congenital mesenteric defect with an apple peel type of deformity of the bowel without bowel atresia.
authors: Division of Pediatric Surgery, Department of Surgery, New York University Langone Medical Center, New York, NY 10016, USA.
authors: Nathaly
authors: N
authors: Llore
authors: Sandra
authors: S
authors: Tomita
mesh_terms: D000015:Abnormalities, Multiple / Q000175:diagnosis*; D002675:Child, Preschool; D006547:Hernia / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis / Q000209:etiology*; D007082:Ileum / Q000002:abnormalities*; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D008643:Mesentery / Q000002:abnormalities*; D010532:Peritoneal Diseases / Q000150:complications / Q000151:congenital / Q000175:diagnosis*