Jejunal Web As the Cause of Bowel Obstruction in a Toddler: Case Report and Brief Literature Review Publisher



Khoei S¹ ; Borhani A¹ ; Ghavamiadel M² ; Zamani F³
Source: International Journal of Surgery Case Reports Published:2021

Abstract

Introduction and importance: Intestinal webs which are categorized under type-1 intestinal atresia rarely occur in the jejunum. These webs are occasionally diagnosed late because their central fenestration allows the passage of food. Case presentation: We report a toddler who presented with atypical symptoms of bowel obstruction and non-specific plain radiograph and ultrasound findings. The diagnosis of jejunal obstruction was made possible with contrast-enhanced computed tomography and obstruction was found to be the result of a jejunal web at the surgery. Clinical discussion: Few cases of jejunal webs are reported in the literature. The jejunum is the site of only 8% of webs and 33% of jejunal webs are associated with other congenital anomalies and/or prematurity. Conclusion: Jejunal web needs a high degree of suspicion to be diagnosed and should be kept in mind as a differential diagnosis in the setting of unexplained persistent non-bilious emesis in otherwise normal toddlers. © 2021