In utero intestinal perforation presenting
as Ileal atresia with calcification: A
Dr Rajendra K Ghritlaharey, Associate Professor, Dept of Pediatric
Surgery, Gandhi Medical College & Associated Kamla Nehru &
Hamidia Hospitals, Bhopal, Madhya Pradesh 462 001 (INDIA),
Phone: + 91-755 - 4050571(R), 4050261(O)
We report a case of intrauterine bowel perforation presenting as ileal atresia with calcification. A seven-day-old girl presented with abdominal distension, bilious vomiting and not passing meconium. A provisional diagnosis of distal ileal atresia was made on clinical examination and investigations. Exploratory laparotomy revealed distal ileal atresia type IV, a calcified mass attached to atretic ileum and adhesions. Adhesiolysis, resection of atretic segments with calcified mass and ileostomy was done. She was on regular follow up for one month, thereafter lost to follow up.