Download PDF
CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2018; 28(03): 369-372
DOI: 10.4103/ijri.IJRI_403_17
Paediatric Imaging

Segmental dilatation of ileum in a young patient presenting with anemia

Neha Nischal
Department of Radiology, GB Pant Institute of Postgraduate Medical Education and Research (GIPMER), New Delhi, India
,
Deepak Balachandra
Department of Gastro-intestinal Surgery, GB Pant Institute of Postgraduate Medical Education and Research (GIPMER), New Delhi, India
,
Anil Kumar Agarwal
Department of Gastro-intestinal Surgery, GB Pant Institute of Postgraduate Medical Education and Research (GIPMER), New Delhi, India
,
Sunil Kumar Puri
Department of Radiology, GB Pant Institute of Postgraduate Medical Education and Research (GIPMER), New Delhi, India
› Author Affiliations Financial support and sponsorship Nil.
› Further Information
   Permissions and Reprints

Abstract

Segmental dilatation of ileum (SDI) is a less known uncommon entity with a confusing clinical scenario and no definite etiopathogenesis. The preoperative diagnosis is of exclusion. However, it has an excellent prognosis after surgery. We describe a case of a young patient who presented with anemia without any overt gastrointestinal (GI) bleed. Thorough radiological examinations were needed to reach the diagnosis of SDI which was confirmed postoperatively.

Keywords

Barium studies - ileal dilatation - segmental dilatation


Publication History

Article published online:
26 July 2021

© 2018. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Sam CJ. Segmental ileal dilatation in a child. Trop Gastroenterol 2011; 32: 221-3
    PubMedGoogle Scholar
  • 2 Paradiso FV, Coletta R, Olivieri C, Briganti V, Oriolo L, Fabbri R. et al. Antenatal ultrasonographic features associated with segmental small bowel dilatation: An unusual neonatal condition mimicking congenital small bowel obstruction. Pediatr Neonatol 2013; 54: 339-43
    CrossrefPubMedGoogle Scholar
  • 3 Wei CH, Sheu JC. Concomitant segmental intestinal dilatation and omphalocele. Formos J Surg 2011; 44: 168-70
    CrossrefGoogle Scholar
  • 4 Khemakhem R, Riazulhaq M, Elhassan EO. Segmental dilatation of intestine presenting as partial intestinal obstruction in a child. APSP J Case Rep 2014; 5: 19
    PubMedGoogle Scholar
  • 5 Sjolin S, Thoren L. Segmental dilatation of the small intestine. Arch Dis Child 1962; 37: 422-4
    CrossrefPubMedGoogle Scholar
  • 6 Lee RKL, Hung EHY, Leung JHY, Tsang KWK. Idiopathic localised dilatation of the ileum: Computed tomography enteroclysis. Hong Kong J Radiol 2014; 17: 124-8
    CrossrefGoogle Scholar
  • 7 Raj P, Sarin YK. Segmental dilatation of ileum associated with anterior thoracolumbar meningomyelocele and bilateral undescended testes. APSP J Case Rep 2015; 6: 5
    PubMedGoogle Scholar
  • 8 Javors BR, Gold RP, Ghahremani GG, Radin DR, Cho KC, Maglinte DD. et al. Idiopathic localized dilatation of the ileum in adults: Findings on barium studies. Am J Roentgenol 1995; 164: 87-90
    CrossrefPubMedGoogle Scholar
  • 9 Akbulut S, Yagmur Y. Giant Meckel's diverticulum: An exceptional cause of intestinal obstruction. World J Gastrointest Surg 2014; 6: 47-50
    CrossrefPubMedGoogle Scholar
  • 10 Nunes Q, Hotouras A, Tiwari S, Sheth A. Gangrene due to axial torsion of a giant Meckel's diverticulum containing multiple stones in the lumen: A case report. Cases J 2009; 2: 7141
    CrossrefPubMedGoogle Scholar