Congenital segmental dilatation of the jejunum

Komi, Nobuhiko; Kohyama, Yukio

doi:10.1016/s0022-3468(74)80302-7

Cited by 23 publications

(6 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Since 1959 additional reports have d o c u m e n t e d similar lesions in the j e j u n u m [2,3], ileum [4][5][6], and colon [7][8][9]. Various forms of heteroplasia have also been f o u n d within the dilated segments, including pulm o n a r y , laryngeal, and esophageal tissues [6,9].…”

Section: Discussionmentioning

confidence: 99%

“…The occurrence of localized or segmental bowel dilatation has been previously reported in the pediatric literature [1][2][3][4][5]. The patients usually present with the signs of mechanical obstruction, and following resection of the abnormal loop become asymptomatic, We report the cases of 3 adult patients with this unusual entity limited to a short segment of the ileum.…”

mentioning

confidence: 87%

See 1 more Smart Citation

Idiopathic localized dilatation of the ileum in adults

Usselman

Ghahremani

Bordin

et al. 1981

Gastrointest Radiol

View full text Add to dashboard Cite

The clinical and radiological features of idiopathic aneurysmal dilatation of the ileum in 3 adult patients are described. This uncommon lesion presents as an aperistaltic saccular segment in direct continuity with the normal ileal lumen. On barium examination of the small bowel, however, it may closely resemble and be mistaken for a Meckel's diverticulum. Previous reports about this entity manifesting in the pediatric age group are reviewed.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 87%

Idiopathic localized dilatation of the ileum in adults

Usselman

Ghahremani

Bordin

et al. 1981

Gastrointest Radiol

View full text Add to dashboard Cite

show abstract

“…The submucosa was found to be either edematous and congested, very vascular, or lymphangiectatic [4]. Likewise, the findings of the mucosa were also not uniform; it was normal in some [1], while in others it showed inflammatory changes [6], ulceration [3], or presence of ectopic tissue [5].…”

Section: Figure: Intraoperative Photograph Indicating the Abrupt Tranmentioning

confidence: 97%

“…The muscle coat was described in earlier reports as either normal [1,4], thinned out or hypertrophied. The submucosa was found to be either edematous and congested, very vascular, or lymphangiectatic [4].…”

Section: Figure: Intraoperative Photograph Indicating the Abrupt Tranmentioning

confidence: 99%

“…Komi and Kohyama postulate that segmental dilatation may arise from prolonged obstruction of the bowel during fetal life because of external compression that may subsequently involute [4]. Against this phenomenon being an acquired characteristic is the presence of heterotopic foregut tissue in the dilated segment in some of the reported cases [5], suggesting that there is a primary dysplasia of the bowel [2].…”

mentioning

confidence: 99%

See 1 more Smart Citation

Segmental Dilatation of Small Intestine

Ms²,

Abomelha

et al. 1993

Ann Saudi Med

View full text Add to dashboard Cite

Segmental dilatation of the small bowel is a rare anomaly, the clinical features of which were intestinal obstruction, anemia due to blood loss, anemia due to malabsorption and intermittent intestinal obstruction [1]. A rare case of segmental dilatation of small bowel with the clinical picture of a blind loop syndrome is presented.A three-year-old Saudi male was admitted with the chief complaint of constipation alternating with passage of loose, yellowish, foul-smelling and occasionally mucinous stools starting at the age of four months. Before this, the child was perfectly well. There is a history of nonprojectile vomiting occurring on two occasions after excessive food intake. Despite a voracious appetite, there was poor weight gain, later weight loss, and failure to thrive. The patient was frequently hospitalized but his condition remained obscure. The parents observed transient improvement following intake of metronidazole. The boy was found in poor general condition. The weight (9.5 kg), height (80 cm), and head circumference (48 cm) were below the fifth percentile. The abdomen was nontender but distended, with visible intestinal loops and peristalsis. Hemoglobin was 10.8 g, MCV 89, and MCHC 33.A plain film of the abdomen was not conclusive. Barium meal revealed a dilated loop of small intestine located on the right side of the abdomen with evidence of delayed emptying. Barium enema showed the cecum and ascending colon placed on the left side of the abdomen. At laparotomy, there was segmental saccular dilatation of the small intestine measuring 40 cm in length. The segment was lying midway between the ligament of Treitz and the ileocecal valve, the distance from each being 60 cm (Figure). The mesentery of the dilated segment was very vascular, thickened and with many enlarged lymph nodes. Nonfixation of the cecum and ascending colon was confirmed. Resection of the dilated segment and an end-to-end anastomosis as well as appendectomy were performed. A change of the nonfixation state of the cecum and ascending colon was not attempted. The opened specimen showed no evidence of intrinsic obstruction. Mesojejunum, submucosa, and serosa showed fibrovascular proliferation, the blood vessels appearing elongated and ectatic. However, the mucosa was normal. The muscle coat was hypertrophic with normal ganglionation. The appendix was histologically normal. The postoperative recovery was uneventful. All symptoms have disappeared and the child is thriving well a year following the operation.Segmental dilatation of the small intestine has been referred to by various terms such as "giant Meckel's diverticulum", unusual anomaly of the small intestine, the bulbous bowel segment [2], segmental mega-ileum, and ileal dysgenesis [3], reflecting lack of clarity about the etiopathogenesis of this condition. Komi and Kohyama postulate that segmental dilatation may arise from prolonged obstruction of the bowel during fetal life because of external compression that may subsequently involute [4]. Against this phenomenon being an acqu...

show abstract