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
REFERENCES:
  1. Saha H, Ghosh D, Ghosh T, Burman S, Saha K. Demographic study and management of colonic atresia: single-center experience with review of literature. J Indian Assoc Pediatr Surg. 2018;23(4):206-11.[Crossref] [PubMed] [PMC] 
  2. Davenport M, Bianchi A, Doig CM, Gough DC. Colonic atresia: current results of treatment. J R Coll Surg Edinb. 1990;35(1):25-8.[PubMed] 
  3. Etensel B, Temir G, Karkiner A, Melek M, Edirne Y, Karaca I, et al. Atresia of the colon. J Pediatr Surg. 2005; 40(8):1258-68.[Crossref] [PubMed] 
  4. Arca MJ, Oldham KT. Atresia, stenosis and other obstructions of the colon. Pediatric Surgery. 7th ed. Philadelphia: Saunders, Elsevier. 2012. p.1247-53.
  5. Li S, Faye-Peterson OM, Reilly S. Intestinal obstruction in a term stillborn infant. Lab Med. 2008:39(7):410-2.[Crossref] 
  6. Cacciari A, Mordenti M, Ceccarelli PL, Ruggeri G. Ileocaecal valve atresia: our surgical approach. Eur J Pediatr Surg. 2004:14(6):435-9.[Crossref] [PubMed] 
  7. Mousavi SA, Sarparast L. Ileocecal valve atresia: introduction of a new surgical approach. Afr J Paediatr Surg. 2014:11(1):77-8.[Crossref] [PubMed] 
  8. Kassira N, Keisling M, Prasad R. True atresia of the ileocecal valve: diagnosis and management of an extremely rare entity. J Ped Surg Case Reports. 2015;33(3):117-9.[Crossref] 
  9. Ein SH, Venugopal S, Mancer K. Ileocaecal atresia. J Pediatr Surg. 1985;20(5):525-8.[Crossref] [PubMed] 
  10. Kiss A, Beale PG, Davies RQ. Ileocaecal atresia. Pediatr Surg Int. 1993;8:262-3.[Crossref] 
  11. Husaric E, Hotic N, Halilbasic A, Konjic E, Karasalihovic Z. Ileo-cecal atresia secondary to intrauterine intussusception. Ped Today. 2012;8(2):147-50.
  12. Srivastava P, Gangopadhyay AN, Gupta DK, Sharma SP, Upadhyaya VD, Kumar V, et al. Atresia of ileocecal junction, ileocecal valve: Rare variants of bowel atresia. J Indian Assoc Pediatr Surg. 2009;14(3):117-8.[Crossref] [PubMed] [PMC] 
  13. AlZaiem M, Al-Garni AF, Almaghrebi A, Zaiem F. Isolated ileocecal valve atresia. Ann Ped Surg. 2018;14(4):211-3.[Crossref] 
  14. Todani T, Tabuchi K, Tanaka S. Intestinal atresia dur to intrauterine intussusception: analysis of 24 cases in Japan. J Pediatr Surg. 1975;10(4):445-51.[Crossref] [PubMed] 
  15. Adams SD, Stanton MP. Malrotation and intestinal atresias. Early Hum Dev. 2014;90(12):921-5.[Crossref] [PubMed] 
  16. El-Asmar KM, Abdel-Latif M, El-Kassaby AA, Soliman MH, El-Behery MM. Colonic atresia: association with other anomalies. J Neonatal Surg. 2016:5(4):47.[Crossref] [PubMed] [PMC] 
  17. Diaz DN, Eftekhari K. Atresia of the colon associated with Hirschsprung's disease. Arch Iran Med. 2015;18(5):322-3.[PubMed] 
  18. Dassinger M, Jackson R, Smith S. Management of colonic atresia with primary resection and anastomosis. Pediatr Surg Int. 2009;25(7):579-82.[Crossref] [PubMed] 
  19. Chouikh T, Charieg A, Mrad C, Ghorbel S, Saada S, Benkhalifa S, et al. Congenital colonic atresia: 4 case reports. J Pediatr Neonatal Care. 2014;1(3):00018.[Crossref] 

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