Congenital duodenal obstruction due to duodenal atresia along with annular pancreas, intestinal malrotation and preduodenal portal vein

被引：0

作者：

Balasubramanian, Satya ^{[1
]}

Ramasundaram, Madhu ^{[2
]}

Sundaram, Jegadeesh ^{[3
]}

机构：

[1] Sri Ramachandra Med Coll & Res Inst, Gen Surg, Chennai, Tamil Nadu, India

[2] Sri Ramachandra Med Coll & Res Inst, Pediat Surg, Chennai, India

[3] Sri Ramachandra Inst Higher Educ & Res, Paediat Surg, Chennai, Tamil Nadu, India

来源：

BMJ CASE REPORTS | 2025年 / 18卷 / 02期

关键词：

Congenital disorders; Gastrointestinal surgery; Paediatric Surgery;

D O I：

10.1136/bcr-2025-264877

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A newborn delivered by emergency lower segment caesarean section at 35 weeks of gestation suspected duodenal atresia antenatally with maternal ultrasonogram showing double bubble sign. After birth, the baby was stabilised and taken up for laparotomy and was found to have duodenal atresia along with intestinal malrotation, annular pancreas and preduodenal portal vein (PDPV). Ladd's procedure with Kimura's duodenoduodenostomy was performed. In a similar previously reported case study, a gastrojejunostomy was conducted;5 here, we were able to do a duodenoduodenostomy which is a better physiological anastomosis than a gastrojejunostomy since we achieved adequate duodenal mobilisation after the Ladd's procedure. Postoperatively, the patient recovered well, tolerated feeds, passed stools and gained adequate weight.

引用

页数：3