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Showing posts with the label chromosomal abnormalities

Paediatric adhesive bowel obstruction: A review of a case of congenital surgery and its sequelae by Dr Shanthi Mariapan in Journal of Clinical Case Reports Medical Images and Health Sciences

 Paediatric adhesive bowel obstruction: A review of a case of congenital surgery and its sequelae by Dr Shanthi Mariapan in Journal of Clinical Case Reports Medical Images and Health Sciences Introduction Ileal atresia is a congenital abnormality where there is significant stenosis or complete absence of a portion of the  ileum . There is an increased incidence in those with chromosomal abnormalities. Ileal atresia results from a vascular accident  in utero  that leads to decreased intestinal perfusion and subsequent ischaemia of a segment of  bowel . This leads to narrowing, or in the most severe cases, complete obliteration of the intestinal lumen. An ileal atresia is often discovered prenatally at a routine prenatal ultrasound scan or following the development of  polyhydramnios . On ultrasound, there is frequently a proximal dilated intestinal segment. In the postnatal period, an abdominal radiograph will show air in the dilated loops of proximal bowe...