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Original Articles

Segmental Absence of Intestinal Musculature –Presentation in a 10-Year-Old Boy with an Extensive Involved Segment

, , , , , & show all
Pages 128-132 | Received 14 Apr 2014, Accepted 11 Nov 2014, Published online: 20 Dec 2014
 

Abstract

Segmental absence of the intestinal musculature is a rare cause of acute abdomen most likely associated with intestinal perforation and sepsis in neonates and adults. We present a case of a 10-year-old boy who developed acute abdomen and was treated with right hemicolectomy and partial resection of the ileum. The ileum showed a 20-cm-long stenotic segment showing prominent thinning of the intestinal wall. This case occurred in an older child, which appears to be rare when comparing the literature. The bowel defect was also the largest described to date, indicating the potential effect of an atonic segment leading to obstructive disease.

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