Congenital Jejunal Web with Central Aperture in Children: Report of Two Cases of Delayed Diagnosis and Management.

Congenital intestinal web of the jejunum is an exceptionally rare condition. While most intestinal atresias present during the neonatal period, jejunal webs with central apertures can lead to delayed presentations, often causing diagnostic challenges. We report two cases of jejunal web in children diagnosed beyond the neonatal period. Both patients presented with failure to thrive and bilious vomiting. One patient, a 2-year-3-month-old girl, was diagnosed with a single jejunal web and underwent successful web excision. The other, a 2-year-8-month-old girl, was found to have double jejunal webs-an extremely rare occurrence. She underwent resection and anastomosis but required reoperation due to anastomotic disruption. These cases highlight the diagnostic challenges associated with delayed presentation of jejunal webs and reinforce the importance of considering this rare anomaly in cases of chronic partial intestinal obstruction.