“Inverse Type” Apple-Peel Syndrome Is Associated with Type III Colonic Atresia in a Neonate with Gastroschisis—A “New” Subtype of Colonic Atresia  

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作  者:Ralf-Bodo Trobs Micha Bahr Ralf Schulze Matthias Neid Wolfgang Pielemeier Claudia Roll 

机构地区:[1]Department of Pediatric Surgery,St.Mary’s Hospital,St.Elisabeth Group,Ruhr-University of Bochum,Herne,Germany [2]Department of Obstetrics and Gynecology,St.Vincenz’Hospital,Datteln,Germany [3]Institute of Pathology,Ruhr-University of Bochum,Georgius-Agricola-Foundation,BG-Clinics Bergmannsheil,Bochum,Germany [4]Center of Perinatology,Department of Neonatology and Pediatric Intensive Care,Vest Children’s Hospital,University of Witten-Herdecke,Datteln,Germany

出  处:《Open Journal of Pediatrics》2015年第4期348-352,共5页儿科学期刊(英文)

摘  要:The colon is an unusual site of intestinal atresia. Colonic atresia is subdivided into three phenotypes. Type III is the most common phenotype, where the proximal and distal blind sacs are not connected. Here, we report on the presence of colonic atresia with an “inverse apple-peel” appearance in a neonate with gastroschisis. The lack of mesenteric fixation of the entire small intestine, including the proximal colon, and the twisting around the vascular axis of the superior mesenteric artery led to intrauterine volvulus and hemorrhagic infarction of the ileocolic bowel at 34 weeks of gestation. According to the current nomenclature for small bowel atresia, we introduce type IIIB into the current colonic atresia classification. The occurrence of type IIIB has been mentioned in the literature, but no single cases have been reported until now. Patients with this type of atresia are predisposed to the loss of the ileocecal region.The colon is an unusual site of intestinal atresia. Colonic atresia is subdivided into three phenotypes. Type III is the most common phenotype, where the proximal and distal blind sacs are not connected. Here, we report on the presence of colonic atresia with an “inverse apple-peel” appearance in a neonate with gastroschisis. The lack of mesenteric fixation of the entire small intestine, including the proximal colon, and the twisting around the vascular axis of the superior mesenteric artery led to intrauterine volvulus and hemorrhagic infarction of the ileocolic bowel at 34 weeks of gestation. According to the current nomenclature for small bowel atresia, we introduce type IIIB into the current colonic atresia classification. The occurrence of type IIIB has been mentioned in the literature, but no single cases have been reported until now. Patients with this type of atresia are predisposed to the loss of the ileocecal region.

关 键 词:Apple-Peel Syndrome Colonic Atresia VOLVULUS GASTROSCHISIS 

分 类 号:R73[医药卫生—肿瘤]

 

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