Segmental dilatation of the ileum

• Main Author: Tune-Yie Shih
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2017-01-01
• Series: Formosan Journal of Surgery
• Subjects: Midgut volvulus; paralytic ileus; segmental dilatation of the ileum
• Online Access: http://www.e-fjs.org/article.asp?issn=1682-606X;year=2017;volume=50;issue=4;spage=150;epage=152;aulast=Shih

A 2-year-old boy was sent to the emergency department with the chief problem of abdominal pain for 1 day. He was just discharged from the pediatric ward with the diagnosis of mycoplasmal pneumonia and paralytic ileus. After initial examinations and radiographic investigations, midgut volvulus was impressed. An emergency laparotomy was performed. Segmental dilatation of the ileum with volvulus was found. The operative procedure was resection of the dilated ileal segment with anastomosis. The postoperative recovery was uneventful. The unique abnormality of gastrointestinal tract – segmental dilatation of the ileum, is described in details and the literature is reviewed.