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Unusual association of diseases/symptoms
CASE REPORT
Congenital sigmoid mesocolic defect as a cause of neonatal intestinal obstruction
  1. Kanika Sharma1,
  2. Anjan Dhua1,
  3. Deena Thomas2 and
  4. Mari Jeeva Sankar3
  1. 1 Pediatric Surgery, All India Institute of Medical Sciences, Delhi, India
  2. 2 Pediatrics, All India Institute of Medical Sciences, Delhi, India
  3. 3 Division of Neonatology, Department of Pediatrics, All India Institute of Medical Sciences, Delhi, India
  1. Correspondence to Dr Anjan Dhua, anjandhua{at}hotmail.com

Abstract

Internal herniation through congenital sigmoid mesocolic defect as a cause of neonatal intestinal obstruction is rarely reported. Clinical judgement combined with judicious use of investigations and prompt exploration is essential to provide immediate relief of the obstruction and salvage the herniated loop of bowel, which otherwise might lead to morbidity and even death. We present a neonate with internal herniation of the ileum through a congenital mesocolic defect which was diagnosed by a prompt abdominal exploration in view of persistent clinical signs of intestinal obstruction. The relevant literature is also discussed highlighting the rarity of neonatal presentation of sigmoid mesocolic defect.

  • congenital disorders
  • neonatal and paediatric intensive care

https://doi.org/10.1136/bcr-2019-230253

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    Footnotes

    • Contributors KS and DT did the literature search and drafted the case report. AD defined the intellectual content and revised the paper and will be the guarantor. MJS reviewed the manuscript and approved the final version.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Patient consent for publication Parental/guardian consent obtained.