Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Intestinal webs as a part of type 1 intestinal atresia especially jejunal web is an unusual occurrence in infancy. Mostly diagnosed late as partial intrinsic obstruction makes the child non symptomatic unless the bulk increase or food bolus gets stuck. We report here an unusual case of a female at 3 months presented with subacute proximal obstruction suspected pre operatively as duodenal partial chronic obstruction however intraoperatively was found to have jejunal cribriform web. Our case report presents a 3‐month‐old age female child with subacute intestinal obstruction with presenting symptoms milder in nature since birth and recent aggravation in symptoms since 15 days. The child was adequately investigated through laboratory, clinical examination and contrast and non‐contrast imaging investigations and was prepared for surgical intervention after preoperative hydration and optimizing general condition. The child was then operated through standard protocols with preoperative diagnosis made to be duodenal obstruction with proximal huge dilated bowel and distal bowel collapsed. Intraoperative incomplete fenestrated proximal jejunal web was found to be the culprit and then was operated without anastomosis with enterotomy and complete web excision and closure of enterotomy. The case operated hence was discharged on post operative day 7 with orally allowed soft diet and adequate bowel bladder emptying frequency. The patient was followed post operative for 15 days and 1 month with contrast imaging study showing passage of contrast up to rectum. The patient is in still follow up and doing well. Jejunal webs a part of spectrum of intestinal atresia should be kept as a high degree of suspicion under differential besides duodenal or pylori level breech for chronic subacute obstruction for a child chronically malnourished with non‐bilious emesis in otherwise normal looking child beyond neonatal period gone uneventful.
How to cite this article:
Hafeza Nazimhusein Tinwala, Ratendra Singh and Neeraj Tuteja. Diagnostic Dilemma Pertaining to Upper GI Obstruction in Infancy: Jejunal WEB.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.10.340.342
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.10.340.342