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Virtual Pediatric Hospital: Paediapaedia: Ileal Atresia Paediapaedia: Gastrointestinal Diseases

Ileal Atresia

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed

Clinical Presentation:
Generalized abdominal distension and delayed onset of vomiting which is sometimes bilious. Passage of meconium is limited and frequently delayed.

In utero vascular accident. Small bowel atresia is equally distributed between the jejunum and the ileum. Associated in 25% of cases with malrotation, volvulus, omphalocele, and meconium ileus.

Not applicable

Imaging Findings:
Plain films demonstrate a low bowel obstruction with multiple dilated loops of bowel. An enema demonstrates a microcolon and an inability to reflux into the terminal ileum.


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