Tuesday, June 10, 2014

SMALL INTESTINES Disorders 2 Vittello-intestinal tract Meconium ileus



2.1.3 MECONEUM ILEUS

This  occurs  in the new born and is due to  fibrocystic  disease
(muco-viscidosis).  The  terminal part of the ileum  is  full  of
vercid neconium.  The child is born with obstruction.

Treatment  laprotomy  is required.  This has  been  discussed  in
Paediatric surgery chapter.

2.1.4 VITELLO-INTESTINAL TRACT

Congenital  persistance  of  this tract after  the  7th  week  of
intrauterine life results in - umbilical polyp.

The  child has a cherry red polyp mass at the umbilicus there  is
blood stained mucoid discharge.

2.1.5 PERSISTANT VITELLE INTESTINAL DUCT

These patients present later in life (18 years) with an umbilicul
polyp  and blood stained mucoid discharge occassionally there  is
discharge  of fecal content.  This requires exploration  and  the
entire tract excised.

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