What can a small bowel obstruction hide: an exceptional combination; Situs inversus, polysplenia, jejunas complex atresia

• Main Author: Mohammed Lahfaoui (Author)
• Format: Book
• Published: Journal of Surgery and Surgical Research - Peertechz Publications, 2020-05-16.
• Subjects: Letter to Editor
• Online Access: Connect to this object online.

<p style="box-sizing: border-box; margin: 0px 0px 10px; color: rgb(51, 51, 51); font-family: Merriweather, serif; font-size: 17px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-style: initial; text-decoration-color: initial;"><strong style="box-sizing: border-box; font-weight: bold;">Introduction:</strong><span> </span>Situs inversus, polysplenia, jejunas complex atresia are uncommon anomalies. Combination in a single patient is even rarer with difficulties in diagnosis and management.</p><p style="box-sizing: border-box; margin: 0px 0px 10px; color: rgb(51, 51, 51); font-family: Merriweather, serif; font-size: 17px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-style: initial; text-decoration-color: initial;"><strong style="box-sizing: border-box; font-weight: bold;">Case repport:</strong><span> </span>A 3-day-old newborn admitted with symptoms of intestinal obstruction. Radiological examinations revealed the presence of an abdominal situs inversus with dilated proximal small intestine handles. At laparotomy, abdominal situs inversus, polysplenia, multiple jejunal atresia with apple peel appearance of the ileum and malrotation were observed.</p><p style="box-sizing: border-box; margin: 0px 0px 10px; color: rgb(51, 51, 51); font-family: Merriweather, serif; font-size: 17px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-style: initial; text-decoration-color: initial;"><strong style="box-sizing: border-box; font-weight: bold;">Conclusion:</strong><span> </span>The combination of situs inversus, polysplenia and complex jejunal atresia is very rare. Preoperative diagnosis of situs inversus is important for proper placement of incisions and better planning of surgical management.</p>