Rare coexistence of segmental jejunal dilatation, gastric heterotopia and malrotation in an infant with congenital heart disease: A diagnostic dilemma

ABSTRACT

Segmental jejunal dilatation (SJD) is an exceptionally rare congenital condition that is often misdiagnosed. When associated with gastric heterotopia and intestinal malrotation, it presents a unique diagnostic and therapeutic challenge to the surgeon. We report the case of a 5½ month-old female infant with a concurrent moderate ostium secundum atrial septal defect with a left-to-right shunt, who presented with failure to thrive and recurrent vomiting. Imaging and surgical exploration revealed SJD with gastric heterotopia and intestinal malrotation. The patient underwent segmental bowel resection and Ladd’s procedure, with excellent post-operative recovery.