sheet: congenital anomalies of git done by: rasha rakan ... … · sheet: congenital anomalies of...
TRANSCRIPT
Sheet: Congenital anomalies of
GIT
Done by: Rasha rakan & bushra
saleem
Atresia means defect. A part of the esophagus didn’t develop
and thus isn’t present. (Cartoon #2)
Sometimes a part of the esophagus is connected to the
trachea instead of connecting to the other part of esophagus
and we call that Tracheo esophageal fistula. It can be
proximal, distal or both (cartoon #3, 4,5)
The child may have complete esophagus but it is connected to
trachea so we call it isolated. (cartoon #6)
EA = Oesophageal Atresia TEF = Tracheo oesophageal fistula
Esophageal Atresia
Trachea
oesophagus
The midgut have different development stages, and this
development may stop at one stage, so if that stage was the
retraction stage, the midgut won’t get back into the abdomen
and we will have this clinical case
omphalocele (failure of retraction of midgut)
Another stage of midgut development is the rotation, if it
failed this will cause the jejunum to be in the right side, and
the colon in the left side.
Failure of rotation of Midgut
Dilated bile duct
The pancreas
surrounding the
duodenum and it causes
constriction in it.
Congenital anomalies of biliary system
Anular Pancreas
The child may be born with an obstructed part of his intestine,
and that’s called blind intestinal ends separated by a fibrous
cord.
It also could be strained, or defect (doesn’t exist in the first
place)
A child can born or a patient comes to you with symptoms of
appendicitis التهاب الزائدة الدوديةappendix is in the right iliac
fossa, so the patient of Meckel’s Diverticulum will have the
same exact symptoms but on the left iliac fossa. Fever,
vomiting, pain, tender (pain when you press the area)
*vitelline duct is the connection between the yolk sac and the
midgut. Usually the yolk sac along with vitelline sac disappear.
Meckel’s Diverticulum = Remnant of vitelline duct*
Meckel’s Diverticulum (Frequency of occurrence)
Meckel’s Diverticulum
Meckel’s Diverticulum
The anal canal may open into:
Some congenital Anomalies of the anal canal
A. the urethra (urorectal fistula) in males
B. vagina (rectovaginal fistula) in females
C. perineal body (rectoperineal fistula)
D. The anal membrane remains closed (imperforated anus)
Hypospadias: the
urethra opens under
the penis, so the
meconium (الغائط)
comes out from here
(Urorectal Fistula)
Before Surgery After Surgery
ما فيهم حكي، يا ريت ترجعو للساليدات بس ساليدات 4هاي مالحظات الول
تدرسوهم
*Anterior of anal canal of males: prostate, perineal body,
bulb.
*In female if the baby has big head the vagina and perineal
body will rupture and maybe reach the anal canal so the
external ( voluntary ) sphincter will rupture and the patient
loses the control of defecation. So we open an opening beside
the vagina to fix the baby's head.
*PR test for examination because maybe prostate tumor
cause secondary tumor in another site.
*Pus accumulate in pouch of Douglas that cause fever in
patient so we can do examination for it by pass finger into
vagina toward the pouch so we can feel if it's filled or not. The
treatment is by make a small cut and empty it out.