Laparoscopic-Assisted Surgery for Congenital Jejunal Stenosis in an Infant

We report a case of congenital jejunal stenosis in a 10-month-old boy. Upper gastrointestinal contrast study suggested congenital jejunal stenosis. Diagnostic laparoscopy was performed. A dilated jejunum starting from the ligament of Treitz was revealed and caliber change was identified. We made a small laparotomy at the left upper quadrant to pull out the caliber change. The proximal jejunum with the caliber change was pulled out through the tiny incision and resected, and end-to-end anastomosis was performed. We conclude that congenital jejunal stenosis could be identified even in a neonate, and that laparoscopic-assisted surgery for jejunal stenosis in an infant is an attractive alternative to the conventional open method.