Báo cáo ca bệnh: Điều trị teo ruột type 4 với 5 miệng nối

Abstract

Intestinal atresia is a common surgical emergency in neonates. Among its types, type IV atresia (multiple segmental atresias) is rare and poses a major challenge for surgeons, as excessive resection of the intestine can lead to short bowel syndrome. Typically, surgeons tend to resect the atretic segments and restore intestinal continuity through a single anastomosis. We report a case of a 2-day-old neonate presenting with bilious vomiting, epigastric distension, and failure to pass meconium. Abdominal X-ray and contrast enema revealed findings consistent with intestinal atresia. Intraoperatively, type IV jejunoileal atresia with six atretic segments was identified. The patient underwent intestinal resection and five jejunoileal anastomoses, preserving approximately 80cm of small intestine. Therefore, preserving multiple atretic bowel segments with multiple anastomoses in the management of type IV intestinal atresia appears to be a feasible and safe surgical approach that ensures adequate bowel length is maintained.