Varied Presentation of Congenital Segmental Dilatation of the Intestine in Neonates: Report of Three Cases

Abstract

Congenital segmental dilatation (CSD) of the intestine is a rare developmental anomaly characterized by sharply demarcated dilatation of a gastrointestinal segment and may present with intestinal obstruction. We report three cases of CSD of the intestine in neonates with varied presentation. First patient was mistaken as pneumoperitoneum on abdominal radiograph, which led to initial abdominal drain placement. The 2nd patient was a case of anorectal malformation associated with congenital pouch colon (CPC) and CSD of ileum; and the third case presented as neonatal intestinal obstruction and found to have CSD of ileum. All the patients were successfully managed in our department.

Congenital Segmental Intestinal Dilatation: A 25-Year Review with Long-Term Follow-up at the Medical University of Innsbruck, Austria

“…In the last couple of decades, the criteria became stricter and, since 2008, to the best of our knowledge, 20 adequately described cases have been reported in the English literature. 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Here, we report on four infants with CSID with segmental dilatation located in the duodenum, ileum, ascending colon, and sigmoid colon. Two of our infants showed additional intestinal anomalies, but remarkably, all four patients had cardiovascular defects, and this is the first report demonstrating such a consistent association in four consecutive cases.…”

Congenital segmental dilatation of intestine with different morphology: A case report

“…[4] Finding merely case reports and small case series in the literature vindicates its scarcity. [6] Sakaguchi et al identified 28 cases in a nationwide survey of Japan, over a decade period. [4] We also published a case report in 2012 and a series of 3 cases in 2016.…”

“…[4] We also published a case report in 2012 and a series of 3 cases in 2016. [3,6] Two patterns of presentation exist: early with neonatal intestinal obstruction; and late with chronic constipation and related sequelae such as failure to thrive, malnutrition, malabsorption, anemia, etc. [2,4,7,8] Ileal segmental dilatation usually presents early whereas colonic segmental dilatation appears to escape the early presentation, though not a rule.…”

Meconium obstruction in a premature neonate: An etiology that may simulate spontaneous intestinal perforation

“…This was not necrotizing enterocolitis or spontaneous intestinal perforation [3] or segmental intestinal dilatation [4], which does not resolve spontaneously and may itself cause intestinal obstruction. This was something different; and hence, my puzzlement!…”