A Case of Ileal Atresia with Hypertrophic Pyloric Stenosis |
Byung Chan Lim1, Jung Ha Lee1, Kwang Sig Kim2, Guk Myung Choi3, Kyung Sue Shin4, Jung Yun Hong4, Youn Woo Kim4 |
1Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea 2Department of General Surgery, College of Medicine, Cheju National University, Jeju, Korea 3Department of Radiology, College of Medicine, Cheju National University, Jeju, Korea 4Department of Pediatrics, College of Medicine, Cheju National University, Jeju, Korea |
비후성 유문 협착증을 동반한 선천성 회장 폐쇄증 1례 |
임병찬1, 이정하1, 김광식2, 최국명3, 신경수4, 홍정연4, 김연우4 |
1서울대학교 의과대학 소아과학교실 2제주대학교 의과대학 외과학교실 3제주대학교 의과대학 진단방사선과학교실 4제주대학교 의과대학 소아과학교실 |
Correspondence:
Youn Woo Kim, Email: yeonukim@cheju.ac.kr |
|
|
Abstract |
Ileal atresia, a subtype of intestinal atresia, is one of the well-recognized causes of bowel obstruction in newborns. Prenatal diagnosis of intestinal atresia is very important in its management and outcome. Unfortunately, there are few cases of ileal atresia diagnosed prenatally, so more appropriate diagnoses and management plans are needed. As an associated gastrointestinal malformation with ileal atresia, hypertrophic pyloric stenosis is rarely reported. We report one case of postnatally diagnosed ileal atresia associated with hypertrophic pyloric stenosis which was complicated initially by bowel perforation and later by vomiting due to pyloric obstruction. Vomiting in the postoperative period is a common problem. But, if vomiting continues after the operation for ileal atresia, hypertrophic pyloric stenosis should be considered as a possible cause of medically retractable non-bilious vomiting. |
Key Words:
Ileal atresia, Hypertrophic pyloric stenosis |
|