Fatal Course of a Male Newborn with Double Duodenal Atresia

European Journal of Pediatric Surgery Reports

Ahmed Elrouby¹  Ahmed Koraitim¹ 

[1]Department of Pediatric Surgery, Faculty of Medicine, Alexandria University, Alexandria, Egypt

关键词: double;    duodenum;    atresia;    abdominal cyst;   

DOI  :  10.1055/s-0039-3400488

来源: DOAJ

【 摘 要 】

Multiple point duodenal atresia is an extremely rare condition with atretic segments in either two or three sites of the duodenum. We report a newborn male patient who presented to our institution with bilious vomiting, nonpassage of meconium, mild abdominal distension, and a palpable epigastric abdominal mass ∼1 × 1 cm. A faint double bubble was found on abdominal X-ray. On exploratory laparotomy, a duodenal cyst due to double duodenal atresia was found and a typical diamond-shaped duodeno-duodenostomy was created. A postoperative contrast study revealed passage of the contrast media into distal intestine. However, the patient died 2 weeks later due to uncontrolled sepsis and pneumonia. Despite the fact that multiple-point duodenal atresia is a rare condition, it should be considered as a differential diagnosis to avoid missed pathology.

【 授权许可】

Unknown