The Combination of Gastroschisis, Jejunal Atresia, and Colonic Atresia in a Newborn

We encountered a rare case of gastroschisis associated with jejunal atresia and colonic atresia. In our case, the jejunal atresia was not discovered for 27 days after the initial abdominal wall closure. The colonic atresia was not discovered for 48 days after initial repair of the gastroschisis seco...

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Main Authors: Zachary Bauman, Victor Nanagas
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2015/129098
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author Zachary Bauman
Victor Nanagas
author_facet Zachary Bauman
Victor Nanagas
author_sort Zachary Bauman
collection DOAJ
description We encountered a rare case of gastroschisis associated with jejunal atresia and colonic atresia. In our case, the jejunal atresia was not discovered for 27 days after the initial abdominal wall closure. The colonic atresia was not discovered for 48 days after initial repair of the gastroschisis secondary to the rarity of the disorder. Both types of atresia were repaired with primary hand-sewn anastomoses. Other than the prolonged parenteral nutrition and hyperbilirubinemia, our patient did very well throughout his hospital course. Based on our case presentation, small bowel atresia and colonic atresia must be considered in patients who undergo abdominal wall closure for gastroschisis with prolonged symptoms suggestive of bowel obstruction. Our case report also demonstrates primary enteric anastomosis as a safe, well-tolerated surgical option for patients with types of intestinal atresia.
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spelling doaj-art-013a0e341dc64cf2a53221002bafb2ee2025-02-03T06:07:25ZengWileyCase Reports in Pediatrics2090-68032090-68112015-01-01201510.1155/2015/129098129098The Combination of Gastroschisis, Jejunal Atresia, and Colonic Atresia in a NewbornZachary Bauman0Victor Nanagas1Henry Ford Macomb Hospital, Clinton Township, MI 48038, USADayton Children’s Hospital, Dayton, OH 45404, USAWe encountered a rare case of gastroschisis associated with jejunal atresia and colonic atresia. In our case, the jejunal atresia was not discovered for 27 days after the initial abdominal wall closure. The colonic atresia was not discovered for 48 days after initial repair of the gastroschisis secondary to the rarity of the disorder. Both types of atresia were repaired with primary hand-sewn anastomoses. Other than the prolonged parenteral nutrition and hyperbilirubinemia, our patient did very well throughout his hospital course. Based on our case presentation, small bowel atresia and colonic atresia must be considered in patients who undergo abdominal wall closure for gastroschisis with prolonged symptoms suggestive of bowel obstruction. Our case report also demonstrates primary enteric anastomosis as a safe, well-tolerated surgical option for patients with types of intestinal atresia.http://dx.doi.org/10.1155/2015/129098
spellingShingle Zachary Bauman
Victor Nanagas
The Combination of Gastroschisis, Jejunal Atresia, and Colonic Atresia in a Newborn
Case Reports in Pediatrics
title The Combination of Gastroschisis, Jejunal Atresia, and Colonic Atresia in a Newborn
title_full The Combination of Gastroschisis, Jejunal Atresia, and Colonic Atresia in a Newborn
title_fullStr The Combination of Gastroschisis, Jejunal Atresia, and Colonic Atresia in a Newborn
title_full_unstemmed The Combination of Gastroschisis, Jejunal Atresia, and Colonic Atresia in a Newborn
title_short The Combination of Gastroschisis, Jejunal Atresia, and Colonic Atresia in a Newborn
title_sort combination of gastroschisis jejunal atresia and colonic atresia in a newborn
url http://dx.doi.org/10.1155/2015/129098
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