Radiologic imaging of congenital gastrointestinal anomalies in infants
Abstract
Background Congenital gastrointestinal anomalies may manifest
signs or symptoms in the first few days of life, most commonly in
the fonn 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 cr scans
and MRI may be needed to make accurate diagnoses, especially
in difficult cases.
Objective To report radiologic imaging findings in infants Mth
congenital gastrointestinal anomalies.
Methods For this retrospective, crossô€Šsectional 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
cormnon complaints were vorrritingin 14 subjects (19%), alxlominal
distension in 31 subjects (43%), and fecal passage dysfunction in
28 subjects (38%). Radiologic imaging of subjects with congenital
gastrointestinal anomalies revealed the folloMng 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. [Paediatr Indones.
2012;52:341-5].
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Accepted 2016-09-08
Published 2012-12-31
