23. Failure of normal physloiogical herniation in
embryo
Leads to narrow mesenteric attachment.
Predisposes to rotation around superior
mesenteric vessels.
If untreated bowel ischemia & infarction.
24.
25.
26.
27. Abnormal course of duodenum that fail to
cross midline has spiral appearance .
28.
29.
30.
31. Intestinal ischemia during intra uterine life.
Present with bilous vomitting & abdominal
distention.
36. Due to intra uterine ischemic insult.
Bilous vomiting & distention.
Numerous dilated bowel loops.
37.
38.
39. Meconium plugs obstruct colon & distal small
bowel.
Associated with cystic fibrosis.
AXR– multiple distended gut loops.
Contrast study—meconium plugs & micro
colon.
40.
41.
42.
43. Meconium plug /small left colon syndrome.
Benign & self limiting condition.
Due to immaturity of colonic ganglion cells.
To infants of diabetic mothers & those who
took MgSO4 for pre eclampsia.
52. Rarely an uncommon condition
Intra uterine vascular insult
Proximal to splenic flexure
53.
54.
55. Association with VATER
High/low depending levator ani muscle
Low –blind ending pouch.
High-associated with fistula to
bladder,urethra & vagina.