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




-Inverse Type- Apple-Peel Syndrome Is Associated with Type III Colonic Atresia in a Neonate with Gastroschisis—A -New- Subtype of Colonic Atresia - Download this document for free, or read online. Document in PDF available to download.

The colon is an unusual site of intestinal atresia. Colonic atresia issubdivided into three phenotypes. Type III is the most common phenotype, wherethe proximal and distal blind sacs are not connected. Here, we report on thepresence of colonic atresia with an -inverse apple-peel- appearance in aneonate with gastroschisis. The lack of mesenteric fixation of the entire smallintestine, including the proximal colon, and the twisting around the vascularaxis of the superior mesenteric artery led to intrauterine volvulus andhemorrhagic infarction of the ileocolic bowel at 34 weeks of gestation.According to the current nomenclature for small bowel atresia, we introducetype IIIB into the current colonic atresia classification. The occurrence oftype IIIB has been mentioned in the literature, but no single cases have beenreported until now. Patients with this type of atresia are predisposed to theloss of the ileocecal region.

KEYWORDS

Apple-Peel Syndrome, Colonic Atresia, Volvulus, Gastroschisis

Cite this paper

Tröbs, R. , Bahr, M. , Schulze, R. , Neid, M. , Pielemeier, W. and Roll, C. 2015 -Inverse Type- Apple-Peel Syndrome Is Associated with Type III Colonic Atresia in a Neonate with Gastroschisis—A -New- Subtype of Colonic Atresia. Open Journal of Pediatrics, 5, 348-352. doi: 10.4236-ojped.2015.54052.





Author: Ralf-Bodo Tröbs1*, Micha Bahr1, Ralf Schulze2, Matthias Neid3, Wolfgang Pielemeier4, Claudia Roll4

Source: http://www.scirp.org/



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