Duodenal atresia

Case contributed by Dr Shailaja Muniraju

Presentation

Born at 33 weeks. Low birth weight. Abdominal distension.

Patient Data

Age: Newborn
Gender: Female
X-ray

Classical double bubble appearance visualised. The larger proximal bubble is air in the stomach. The comparatively smaller bubble is the air in the proximal duodenum. Distal to this point, no air is seen.

Ryles tube in-situ in the dilated stomach shadow.

Chest region shows reticulonodular opacities consistent with respiratory distress.

X-ray

Post operative radiograph

Trans-anastomotic tube is seen. No complicating features.

Ryles tube in-situ.

The bilateral lung fields demonstrate persistent reticulonodular opacities.

Surgical details

The patient was taken for explorative laparotomy and there was a thick duodenal web with resultant dilatation of duodenum up to its second segment. Web excision and a duodeno-duodenostomy was performed. There was no evidence of distal atresia or malrotation.

X-ray

Fifteen days later

Trans-anastomotic tube insitu. No complicating features.

Ryles tube in-situ.

The bowel gas shows normal pattern.

No late post-operative complications identified.

 

Case Discussion

A typical case of duodenal atresia due to duodenal web.

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Case information

rID: 50139
Case created: 20th Dec 2016
Last edited: 8th Feb 2017
Inclusion in quiz mode: Included

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