Alışılmadık Jejunal Atrezi Tipi: Tip 1 Ve Tip 3a Karışımı

Yıl 2012, Cilt: 2 Sayı: 3, 182 - 184, 01.09.2012

Metin Gunduz İlhan Ciftci Zeynel Gokmen Yasar Unlu

Öz

Intestinal atreziler yenidoğan barsak tıkanuklıklarının en sık sebebidir. Bu atrezilerin %46 sını Jejunoileal tıkanıklıklar oluşturur. Jejunoileal atreziler 4 tipe ayrılır. Olgumuz bu tiplerden hiçbirine uymamaktadır. Tip 1 ve Tip3a karışımı olarak tespit edilmiştir. Tespit ettiğimiz bu atrezide mucosal web yırtılarak açılmıştır. Intestinal atrezilerde cerrahi tedavi, erken ve doğru teşhis mortaliteyi, komplikasyonları azaltnaktadır. Sonuç olarak safralı kusma ile başvuran yenidoğanlarda intestinal atrezi hatırlanmalıdır. Bu atrezi normal tiplendirmeye uymayabilir.

Anahtar Kelimeler

Barsak atrezisi, doğumsal anomaliler, jejunoileal atrezi

Unusual Case Of Jejunal Atresia: A Mixture Of Type I And Type IIIa

Öz

Intestinal atresias are a most common cause of bowel obstruction in the newborn. Jejunoileal obstruction was found in 46% of the intestinal atresia. The classification of jejunoileal atresias defined 4 types of lesions. Our case does not conform these types. A mixture of type I and type IIIa. This atresia included fenestrated mucosal web with minimal mesenteric defect. Being a life threatening surgical emergency, prompt diagnosis and opportune treatment are required to prevent mortality and other complications in intestinal atresias. In conclusion, intestinal atresias should be remembered in bilious vomiting of newborn. And intestinal atresia type may be unusual.

Anahtar Kelimeler

Intestinal atresia; Congenital anomalies; Jejunoileal atresia

Kaynakça

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