Estenose de cólon transverso com realização de transversectomia: relato de caso

Intestinal obstruction occurs due to a variety of congenital or acquired abnormalities, with intestinal stenosis being one, although rare, important cause of intestinal obstruction in newborns. However, the diagnosis can be delayed since none of the most prevalent symptoms are pathognomonic of the condition and the etiology of the stenosis is still not well understood. In this work, we report the case of a newborn female who presented, since the first week of life, recurrent vomiting and abdominal distension, associated with the absence of evacuation. Initially, after barium enema, Hirschsprung's Disease was raised as a diagnostic hypothesis, but after maintaining the condition even with conservative treatment, a laparotomy was performed and the case revealed as a transverse stenosis, with surgical correction being adopted through transversectomy with protective ileostomy and skin fistula. Therefore, the case was presented with the purpose of alerting the need to consider the several differential diagnoses in the elaboration of clinical thinking and, in this case, the need to consider the intestinal stenosis in the elaboration of differential diagnoses in infants with chronic constipation.