Contrast enema obtained in a neonate with abdominal distensi | Figure 1
CincyKidsRad
Cincinnati Children's Radiology
Contrast enema obtained in a neonate with abdominal distension and failure to pass meconium shows a micro colon. Contrast refluxes into the ileum in the right lower quadrant. However, it never is able to reflux into the dilated and distended upstream bowel loops. This is typical of ileal atresia. During surgical correction, it is important for the surgeon to “run the bowel” looking for other atresia. #TummyTuesday
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Images from a water-soluble contrast enema show a microcolon (dashed arrow) which abruptly terminates in the left upper quadrant (arrow). Contrast never extends to the markedly dilated bowel segment (arrowhead). The most common causes of microcolon include ileal atresia, meconium ileus, and occasionally total colonic Hirschsprung disease. In this patient, the microcolon was caused by colonic atresia. Colonic atresia is a rare form of intestinal atresia. It is associated with other congenital anomalies in approximately 50% of patients. Other abdominal anomalies include abdominal wall defects, other intestinal atresias, Hirschsprung disease, and malrotation.
32 weeker male baby, 22 hrs of life, stool not passed since birth, abdomen distended, bowel sounds diminished. Abd Xray findings & Diagnosis?
#Newborn with bilious emesis. Oblique image from a water soluble contrast #enema shows a #microcolon. Contrast has refluxed into the small bowel showing filling defects consistent with #meconium #ileus. Meconium ileus is the presenting symptom of cystic fibrosis in 10-20% of patients. #TummyTuesday