Ileal atresia and total colonic aganglionosis
Sangkhathat, S.; Patrapinyokul, S.; Donsakul, N.
Journal of the Medical Association of Thailand 85(10): 1130-1134
2002
ISSN/ISBN: 0125-2208 PMID: 12501906 Document Number: 6942
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.
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