Congenital Duodenal Stenosis and Congenital Duodenal Atresia: A Report of a Preoperatively Diagnosed Case

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  • Torikai Motofumi
    Perinatal Center, Miyazaki University Hospital Department of Neonatology, Kagoshima City Hospital
  • Asada Takashi
    Department of Surgery, Miyazaki University Hospital
  • Kondo Kazuhiro
    Department of Surgery, Miyazaki University Hospital
  • Sameshima Hiroshi
    Department of Gynecology, Miyazaki University Hospital
  • Ieiri Satoshi
    Department of Pediatric Surgery, Kagoshima University Graduate School of Medicine and Dentistry

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Other Title
  • 術前に先天性十二指腸狭窄症と先天性十二指腸閉鎖症の合併が診断された1例
  • 症例報告 術前に先天性十二指腸狭窄症と先天性十二指腸閉鎖症の合併が診断された1例
  • ショウレイ ホウコク ジュツゼン ニ センテンセイ ジュウニシチョウ キョウサクショウ ト センテンセイ ジュウニシチョウ ヘイサショウ ノ ガッペイ ガ シンダン サレタ 1レイ

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<p>The patient was a 0-day-old boy. At 29 weeks of gestational age, jejunal atresia was suspected because of the findings of hydramnion and the triple bubble sign in fetal ultrasonography. The patient was born at 35 weeks of gestational age, with a weight of 2,090 g, via normal vaginal delivery. Abdominal X-ray showed the triple bubble sign, and gastrointestinal contrast enema series showed malrotation and a non-contrasted cyst beneath the duodenal bulb. An abdominal plane computed tomography showed no relationship of the cyst with the liver and bile duct. We preoperatively diagnosed the patient as having congenital duodenal stenosis and congenital duodenal atresia and malrotation. A laparotomy revealed that the malrotation and duodenal stenosis were due to annular pancreas and type II duodenal atresia 5 cm distal to the stenotic lesion, both in the second portion of the duodenum. Ladd’s procedure and double duodeno-duodenotomy with the placement of a trans-anastomotic tube were performed. The post-operative course was uneventful, and the patient was discharged at 42 days of age.</p>

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