Abstract
A twelve-day-old neonate presented with persistent bilious vomiting and dehydration. A transverse supra-umbilical laparotomy was done. Later, he died and autopsy was done. A jejunoileal segment and several other ileal segments were collected. The jejunoileal segment was dilated. It measured 11 cm in length and had a blind end. One of the ileal segments measured 16 cm in length. Ileum showed multiple small diverticulae at the mesenteric border and each diverticula measured 3 to 4 mm in length. Lumen of ileum appeared collapsed or strictured. Further, the lumen of diverticulae contained soft eosinophilic material. He was finally diagnosed as a case of jejunoileal atresia associated with multiple terminal ileal diverticulae.
Keywords: Jejunoileal dilatation multiple ileal type IV diverticulosis.
References
- Hamilton SR, Faber JL, Rubin E. Congenital disorders atresia and stenosis, Pathology, 3rd ed 1999; 703-704.
- Pathological series in the Hunterian museum. Descriptive catalogue part II, Edinburgh and London: E.S. Livingstone, 1972:1049,1050.
- Keith SA. A demonstration on diverticula of the alimentary tract of congenital or obscure origin. Br Med J 1910;1:376-80.
- Painter NS. The aetiology of diverticulosis of the colon with special reference to the action of certain drugs on the behavior of the colon. Ann R CollSurgEngl 1964;34:98-119.
- Ghandour R, Khalifeh G. OrmNB, Rakka M. Jejunal diverticular disease: a report of three Cases, J SurgCas Rep 2020;11; 1-4.
- Painter NS, Burkitt DP. Diverticular diseaseof colon: A deficiency disease of western civilization. B Med J. 1971;2:450-454.
- Rezapour M, Ali S, StollmanN. Diverticular disease: An update on pathogenesis and management. Gut Liver 2018; 12 (2):125-132.
- Muacevic A, Adler J. Type 4 ileal atresia and anorectal malformation in a neonate: A rare association. Cureus 2022;14 (4):e24295.
- Hayek J, Goldman H, Kozakewich BW. Embryology and developmental disorders, In ‘Pathology of the gastrointestinal tract’, second edition, Si-Chun Ming and Goldman Harvey (editors) 1998, Þ169-193.
- Meckel J. Handbuch der pathologischen Anatomie. 1 Leipzig, Reclam 1812.
- Tandler J. Morpholjb 1902;29:187-216.
Corresponding Author
Dr. Ashok Kumar Kapoor
RML Mehrotra Pathology Pvt. Ltd. B-171, Nirala Nagar, Lucknow- 226020, Uttar Pradesh, India
DOI: https://dx.doi.org/10.18535/jmscr/v12i02.04
