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Congenital Anomalies of

the Small and Large


Intestine
Dr. Shahzad Alam Shah
A/ Professor Laparoscopic
Surgery
FJMC/SGRHL

Atresia
Complete Obstruction

1. OBSTRUCTION

Stenosis
Partial Obstruction

Atresia

Duodenal
Jejunal
Ileal
Colonic
Anal

JejunoIlleal Artesia

DOUDENAL ATRESIA

YPES OF INTESTINAL ATRESIA

Diagnosis
U/S IN Utero
Amniocentesis
Contrast X-ray Abdomen

Treatment
Resection
Ileostomy

2. MALROTATION

MALROTATION

Midgut Volvulous

Diagnosis
U/S IN Utero
Contrast X-ray Abdomen
In Infants

Treatment
Resection
Ileostomy
Colostomy

3. DUPLICATION

4. OMPHALOCELE

5. GASTROCHISIS

5.MECKEL DIVERTICULUM

Diagnosis
Acute Abdomen in infants or latter ages
because of inflammation or intestinal
obstruction.

Treatment
Resection

6. MEGACOLON

CONGENITAL MEGACOLON

(Hirschsprung`s Disease)

Hirschsprung Disease

Diagnosis
Acute Abdomen in infants

Treatment
Pull Through Operation

Pull Through Operation

7. ANORECTAL ANOMALIES

8. ANORECTAL AGENESIS

MPERFORATE ANUS

Diagnosis
No passage of stool within a day or two of birth
Passing stool through another opening, like the urethra in boys
or vagina in girls
Swollen belly

Treatment
Anoplasty
Colostomy