Radiologic imaging of congenital gastrointestinal anomalies in infants
Abstract: Congenital
gastrointestinal anomalies may manifest signs or symptoms in the first few days
of life, most commonly in the form of obstructions. Radiologic imaging plays an
important role in diagnosis confirmation and surgical correction plans. Most
cases may be diagnosed by plain radiographs alone, but CT scans and MRI may be
needed to make accurate diagnoses, especially in difficult cases.
Objective To report radiologic imaging findings in infants with
congenital gastrointestinal anomalies.
Methods For this retrospective, cross-sectional study we took secondary
data from medical records of infants with congenital gastrointestinal anomalies
in Dr. Kariadi Hospital, Semarang, Indonesia from January 2010 – June 2011.
Diagnosis of congenital anomalies was confirmed by clinical manifestation and
radiologic imaging. Radiologic findings were reviewed by a single radiologist
on duty at that time. Data is presented in the form of frequency distribution.
Results Subjects consisted of 50 males and 23 females. The most common
complaints were vomiting in 14 subjects (19%), abdominal distension in 31
subjects (43%), and fecal passage dysfunction in 28 subjects (38%). Radiologic
imaging of subjects with congenital gastrointestinal anomalies revealed the
following conditions: anal atresia in 28 subjects (38%), congenital megacolon
in 21 subjects (29%), esophageal atresia in 14 subjects (19%), duodenal atresia
in 9 subjects (12%), and pyloric atresia in 1 subject (2%).
Conclusion Using radiologic imaging of infants with congenital
gastrointestinal anomalies, the most to least common conditions found were anal
atresia, congenital megacolon, esophageal atresia, duodenal atresia, and
pyloric atresia.
Author: Leny Zabidi, Gatot
Irawan Sarosa, Farah Prabowo
Journal Code: jpkedokterangg120134
