Document Detail


Segmental dilatation of the intestine.
MedLine Citation:
PMID:  16769347     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The aim of this work is to discuss the pathogenesis of the segmental dilatation of the intestine (SDI) and to review its clinical presentation and the ways to confirm the diagnosis. METHODS: Eight cases of pathologically proven SDI from 1987 to 2003 were reviewed and discussed. There were 7 newborns and a 1-year-old boy. RESULTS: Our patients are 5 boys and 3 girls. In all cases, the diagnosis was not suspected before surgery. Two patients presented with a low neonatal bowel obstruction. Six patients were operated for omphalocele, which was the most frequent associated malformation. The SDI involved the ileum in all patients. The treatment consisted on a resection of the dilated segment with an end-to-end anastomosis. Histological examination demonstrated the presence of ganglion cells in all cases. The muscular layer was hypertrophied in two cases and very thin in one case. A heterotopic gastric mucosa was observed in one case. No anomalies were observed in 5 cases. The postoperative course was uneventful in 6 cases with a mean follow-up of 5 years. CONCLUSIONS: Segmental intestinal dilatation is an exceptional pathology with an unknown etiology and a misleading clinical presentation. Several theories were proposed to explain this malformation; however, most authors are rather inclined to an embryological theory incriminating an extrinsic intrauterine intestinal compression. Most cases are neonatal discoveries. The clinical polymorphism and the lack of specificity of radiological investigations explain the difficulties to have a preoperative diagnosis. However, this difficulty is compensated by the favorable evolution after the resection of the dilated segment.
Authors:
Mohamed Ben Brahim; Mohsen Belghith; Mongi Mekki; Riadh Jouini; Lassaad Sahnoun; Kaies Maazoun; Imed Krichene; Mondher Golli; Kamel Monastiri; Abdellatif Nouri
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  41     ISSN:  1531-5037     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-06-13     Completed Date:  2006-10-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1130-3     Citation Subset:  IM    
Affiliation:
Department of Paediatric Surgery-Fattouma Bourguiba Hospital, 5000 Monastir-Tunisia.
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MeSH Terms
Descriptor/Qualifier:
Digestive System Abnormalities / pathology,  radiography
Dilatation, Pathologic
Esophageal Atresia / complications,  mortality
Female
Hernia, Umbilical / complications,  mortality
Hirschsprung Disease / complications,  surgery
Humans
Ileum / abnormalities*,  physiopathology*,  surgery
Infant
Infant, Newborn
Intestinal Obstruction / etiology*,  surgery*
Male

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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