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Case ReportOpen Access
Ileal Atresia and Total Colonic Aganglionosis
Sangkhathat S 
,
Donsakul N
,
Donsakul N SURASAK SANGKHATHAT, M.D.*,
SAKDA PATRAPINYOKUL, M.D.*,
NARA DONSAKUL, M.D.**
Herein, the authors report a case of ileal atresia who failed to have good bowel function
after primary anastomosis. After the leakage of the revised anastomosis, a thorough pathological
review found distal aganglionosis. An ileostomy followed by an ileocolic patch operation were per-
formed for temporary decompression, awaiting intestinal adaptation. A definitive pull-through was
performed, eight months later. The child also had bilateral cleft lip together with complete cleft
palate, and hemivertebrae of the thoracic spines. A cluster of malformations is unusual in a single
patient.
Key word : Ileal Atresia, Total Colonic Aganglionosis, Multiple Congenital Anomalies
SAKDA PATRAPINYOKUL, M.D.*,
NARA DONSAKUL, M.D.**
Herein, the authors report a case of ileal atresia who failed to have good bowel function
after primary anastomosis. After the leakage of the revised anastomosis, a thorough pathological
review found distal aganglionosis. An ileostomy followed by an ileocolic patch operation were per-
formed for temporary decompression, awaiting intestinal adaptation. A definitive pull-through was
performed, eight months later. The child also had bilateral cleft lip together with complete cleft
palate, and hemivertebrae of the thoracic spines. A cluster of malformations is unusual in a single
patient.
Key word : Ileal Atresia, Total Colonic Aganglionosis, Multiple Congenital Anomalies
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