Radiologic imaging of congenital gastrointestinal anomalies in infants

• Main Authors: Leny Zabidi, Gatot Irawan Sarosa, Farah Prabowo
• Format: Article
• Language: English
• Published: Indonesian Pediatric Society Publishing House 2012-12-01
• Series: Paediatrica Indonesiana
• Subjects: congenital gastrointestinal anomalies; radiologic imaging; anal atresia; congenital
• Online Access: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/498
• ISSN: 0030-9311; 2338-476X

Background Congenital gastrointestinal anomalies may manifest signs or symptoms in the first few days of life, most commonly in the fonn of obstructions. Radiologic imaging plays an important role in diagnosis confirmation and surgical correction plans. Most cases may be diagnosed by plain radiographs alone, but cr scans and MRI may be needed to make accurate diagnoses, especially in difficult cases. Objective To report radiologic imaging findings in infants Mth congenital gastrointestinal anomalies. Methods For this retrospective, cross􀁊sectional study we took secondary data from medical records of infants 'With congenital gastrointestinal anomalies in Dr. Kariadi Hospital, Semarang, Indonesia from January 2010 - June 2011. Diagnosis of congenital anomalies was confirmed by clinical manifestation and radiologic imaging. Radiologic findings were reviewed by a single radiologist on duty at that time. Data is presented in the form of frequency distribution. Results Subjects consisted of 50 males and 23 females. The most cormnon complaints were vorrritingin 14 subjects (19%), alxlominal distension in 31 subjects (43%), and fecal passage dysfunction in 28 subjects (38%). Radiologic imaging of subjects with congenital gastrointestinal anomalies revealed the folloMng conditions: anal atresia in 28 subjects (38%), congenital megacolon in 21 subjects (29%), esophageal atresia in 14 subjects (19%), duodenal atresia in 9 subjects (12%), and pyloric atresia in 1 subject (2%). Conclusion Using radiologic imaging of infants with congenital gastrointestinal anomalies, the most to least common conditions found were anal atresia, congenital megacolon, esophageal atresia, duodenal atresia, and pyloric atresia. [Paediatr Indones. 2012;52:341-5].