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Jejunal Web As the Cause of Bowel Obstruction in a Toddler: Case Report and Brief Literature Review Publisher



Khoei S1 ; Borhani A1 ; Ghavamiadel M2 ; Zamani F3
Authors
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Authors Affiliations
  1. 1. Department of Radiology, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of General Surgery, Children Medical Center of Excellence, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Radiology, Children Medical Center of Excellence, Tehran University of Medical Sciences, Tehran, Iran

Source: International Journal of Surgery Case Reports Published:2021


Abstract

Introduction and importance: Intestinal webs which are categorized under type-1 intestinal atresia rarely occur in the jejunum. These webs are occasionally diagnosed late because their central fenestration allows the passage of food. Case presentation: We report a toddler who presented with atypical symptoms of bowel obstruction and non-specific plain radiograph and ultrasound findings. The diagnosis of jejunal obstruction was made possible with contrast-enhanced computed tomography and obstruction was found to be the result of a jejunal web at the surgery. Clinical discussion: Few cases of jejunal webs are reported in the literature. The jejunum is the site of only 8% of webs and 33% of jejunal webs are associated with other congenital anomalies and/or prematurity. Conclusion: Jejunal web needs a high degree of suspicion to be diagnosed and should be kept in mind as a differential diagnosis in the setting of unexplained persistent non-bilious emesis in otherwise normal toddlers. © 2021