PDF(Pubmed)
Abstract：
Jejunoileal atresia, a common cause of neonatal intestinal obstruction, typically manifests shortly after birth. This case report highlights a rare instance of a late preterm female neonate presenting with type 4 jejunoileal atresia along with proximal rectal atresia, an exceedingly uncommon combination. Initial symptoms included bilious emesis and failure to pass meconium, leading to surgical correction of jejunoileal atresia. However, postoperative complications, including vomiting and jaundice, prompted further investigation, revealing rectal atresia during a fluoroscopic study on day 29. Subsequent surgery was required to address the rectal atresia, resulting in additional challenges such as short bowel syndrome and infection. The complexity of diagnosis and management underscores the importance of thorough evaluation of the lower gastrointestinal tract in neonates with jejunoileal atresia to prevent misdiagnosis and reduce the need for multiple surgeries. Rectal atresia, which is a very rare anorectal abnormality, in combination with jejunoileal atresia is considered an incredibly unusual, exceptionally unique case; as to our knowledge, no similar presentation had previously occurred. Prompt identification and simultaneous treatment of both conditions can help mitigate complications, minimize the risk of necrosis and perforation, and improve overall outcomes. Comprehensive management strategies that encompass thorough diagnostic evaluation and coordinated surgical interventions are crucial for optimizing the care of neonates with complex intestinal malformations, ensuring timely resolution of symptoms, and reducing long-term morbidity.
摘要：
空肠闭锁,新生儿肠梗阻的常见原因,通常在出生后不久出现。该病例报告重点介绍了一例罕见的晚期早产女性新生儿，表现为4型空肠闭锁以及近端直肠闭锁。非常不寻常的组合。最初的症状包括胆汁性呕吐和未能通过胎粪，导致空肠闭锁的手术矫正。然而,术后并发症,包括呕吐和黄疸,促使进一步调查，在第29天的透视研究中发现直肠闭锁。随后需要手术来解决直肠闭锁，导致额外的挑战，如短肠综合征和感染。诊断和治疗的复杂性强调了对空肠闭锁新生儿下胃肠道进行彻底评估以防止误诊并减少多次手术的重要性。直肠闭锁,这是一种非常罕见的肛门直肠异常，与空肠闭锁相结合被认为是一种非常不寻常的，特别独特的情况；至于我们的知识，以前没有发生过类似的表现.迅速识别和同时治疗这两种情况可以帮助减轻并发症，尽量减少坏死和穿孔的风险，改善整体成果。全面的管理策略，包括全面的诊断评估和协调的手术干预是至关重要的优化护理新生儿复杂的肠道畸形。确保症状的及时解决，降低长期发病率。
