Turkiye Klinikleri Journal of Case Reports

Neonatal Ileal Perforation due to Type IV Ileocecal Valve Atresia
Tuğba ACER DEMİRa, Esra Elif ARSLANa
aDepartment of Pediatric Surgery, Başkent University Faculty of Medicine, Ankara, TURKEY
Turkiye Klinikleri J Case Rep. 2020;28(4):215-9
doi: 10.5336/caserep.2020-75177
Article Language: EN
Full Text
ABSTRACT
 Only ten cases of ileocecal valve atresia are found in the English literature. Herein, we present a case with ileal perforation due to double membranous atresia (type IV atresia), one at the ileocecal valve, and one at cecum. The plain abdominal graph of a five-day-old girl revealed subdiaphragmatic free air. In the emergent laparotomy, there was a perforation in the distal ileum. We performed an end-ileostomy. During the second operation (5-month-old), the catheter placed to the distal of the ileostomy did not go further through the ileocecal valve. The catheter that passed from the appendix stump also stopped at a distance of 1 cm. An anastomosis was made between the ileum and the colon. The differential diagnosis of ileocecal valve atresia includes ileal atresia, meconium ileus and necrotizing enterocolitis. In case of a perforation, we recommend opening an ileostomy initially and then starting a treatment for sepsis. We advise to check the distal colon for further atresia.

Keywords: Ileocecal valve; colonic atresia; atresia of small intestine; intestinal perforation; ileostomy; anastomosis, surgical
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