Abstract
We report here an interesting unique case of total loss of small bowel in the absence of associated malrotation or gastroschisis. Total loss of small bowel, acquired in utero in the absence of associated anomalies such as malrotation or gastroschisis, has not been previously reported. Several reports of congenital short bowel exist. However, this uncommon finding is typically associated with malrotation. Babies with this condition often present with functional intestinal obstruction. Several cases in which infarction of gastroschisis and autolysis of the bowel, followed by in utero resolution of the abdominal wall defect, have been reported as a cause of congenital absence of the small bowel. We present here the first report, to our knowledge, of an infant with total absence of the small bowel without gastroschisis or malrotation.
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References
Hamilton JR, Reilly BJ, Morecki R (1969) Short small intestine associated with malrotation: a newly described congenital cause of intestinal malabsorption. Gastroenterology 56:124–136
Shawis RN, Rangecroft L, Cook RCM, Gough DCS (1984) Functional intestinal obstruction associated with malrotation and short small-bowel. J Pediatr Surg 19:172–173
Sarimurat N, Celayir S, Elicevik M, Dervisoglu S, Yeker D (1998) Congenital short bowel syndrome associated with appendiceal agenesis and functional intestinal obstruction. J Pediatr Surg 33:666–667
Tanner MS, Smith B, Lloyd JK (1976) Functional intestinal obstruction due to deficiency of argyrophil neurons in the myenteric plexus. Familial syndrome presenting with short small bowel, malrotation, and pyloric hypertrophy. Arch Dis Child 51:837–841
Dorney SF, Byrne WJ, Ament ME (1986) Case of congenital short small intestine: survival with use of long-term parenteral feeding. Pediatrics 77:386–389
Schalamon J, Schober PH, Gallippi P, Matthyssens L, Hollwarth ME (1999) Congenital short-bowel; a case study and review of the literature. Eur J Pediatr Surg 9:248–250
Sansaricq C, Chen WJ, Manka M, Davis D, Snyderman S (1984) Familial congenital short small bowel with associated defects. A long-term survival. Clin Pediatr (Phila) 23:453–355
Royer P, Ricour C, Nihoul-Fekete C, Pellerin D (1974) Le syndrome familial de grele court avec malrotation intestinal et stenose hypertrophique du pylore scez le nourrison. Arch Pediatr 31:223–229
Pinette MG, Pan Y, Pinette SG, Jones M, Stubblefield PG, Soper JM, Blackstone J (1994) Gastroschisis followed by absorption of the small bowel and closure of the abdominal wall defect. J Ultrasound Med 13:719–721
Bromley B, Shamberger RC, Benacerraf B (1995) An unusual outcome for a fetus with gastroschisis. J Ultrasound Med 14:69–72
Basaran UN, Inan M, Gucer F, Yardim T, Pul M (2002) Prenatally closed gastroschisis with midgut atresia. Pediatr Surg Int 18:550–552
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Besner, G.E., Bates, G.D., Boesel, C.P. et al. Total absence of the small bowel in a premature neonate. Ped Surgery Int 21, 396–399 (2005). https://doi.org/10.1007/s00383-005-1386-9
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DOI: https://doi.org/10.1007/s00383-005-1386-9