Bowel Atresia and Meconium Ileus

Question 1

Duodenal atresia

Answer 1

At birth
Bilious vomiting
Neonatal bowel obstruction

Question 2

Duodenal atresia a can be assosiated with

Answer 2

Down syndrome
Mother can have polyhydoamnios

Question 3

Tyeps of duodenal atresia

Answer 3

Type 1- just a mucosal web
(Windsock deformity)

Type 2- fibrous band between two loops ( muscle continuity present)

Type 3- actual gap (more severe)

Question 4

Double bubble sign seen in

Answer 4

X ray finding in duodenal atresia
Annular pancreas

Question 5

Surgery

Answer 5

Duodeno duodenostomy»duodeno jejunostomy

Question 6

Jejunal atresia association with

Answer 6

Cystic fibrosis
Malrotation of gut

Question 7

CF

Answer 7

Distension and vomiting

Question 8

Triple bubble sign

Answer 8

Jejunal atresia

Question 9

Types of intestinal atresia

Answer 9

Type 1-mucosal atresia

Type 2-fibrous band

Type 3A- single atresia with v-shaped mesentry

Type 3B- complete jejunal atresia and coiled ileum ( Christmas tree 🌲 appearance)

Type 4-multiple atresia (sausage 🌭 sign)

Question 10

Most common cause of neonatal bowel obstruction

Answer 10

Meconium ileus
Thickened meconium -cystic fibrosis

Question 11

Non passage of meconium

Answer 11

Meconium ileus

Question 12

Findings

Answer 12

Soap bubble appearance
Neuhauser sign
Microcolon

Question 13

What test to do in meconium ileus patient with suspicion of cystic fibrosis

Answer 13

Sweat chloride test

Question 14

First line of treatment

Answer 14

Gastrographin enemas

Question 15

Surgery in meconium ileus

Answer 15

Bishop loop surgery

Question 16

Most common intestinal malrotation abnormality

Answer 16

Ladd hands band running from right hypochondrium to caecum

Compress duodenum from side

Question 17

Management of ladd band

Answer 17

Excision of ladds band