A 1.6 kg IUGR baby presented with abdominal distention and bilious vomiting since birth. Upper GI contrast study was suggestive of jejunal atresia. Intra-operatively the patient was found to have antenatal perforation of the proximal dilated part of jejunum with formation of a meconium cyst with entire content of the peritoneal cavity grossly adherent to the cyst wall. It took about 5 hours of meticulous dissection in separating the entire proximal and distal intestine from the cyst wall without causing any injury to the intestine or its vascularity. The site of rupture was delineated and the cyst was completely excised. Subsequently a primary end to end jejuno-jejunal anastomosis.
Yorumlar