Double trouble with triple bubble: A rare case of double small bowel atresia in a neonate
We experienced a rare case of double small bowel atresia (SBA) at our centre. A premature baby boy was born at 35 weeks of gestation. Antenatal scans had already shown a grossly dilated stomach and bowel. Postnatal abdominal X-ray (AXR) showed a triple bubble sign. During emergency laparotomy, we fo...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-01-01
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| Series: | Journal of Pediatric Surgery Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576620303791 |
| _version_ | 1818384451424485376 |
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| author | R. Ramanuja Naidu Mohd Razin Hassan Wan Mohd Ruzaimie Wan Mohamad Noor Mohd Tarmizi Md Nor |
| author_facet | R. Ramanuja Naidu Mohd Razin Hassan Wan Mohd Ruzaimie Wan Mohamad Noor Mohd Tarmizi Md Nor |
| author_sort | R. Ramanuja Naidu |
| collection | DOAJ |
| description | We experienced a rare case of double small bowel atresia (SBA) at our centre. A premature baby boy was born at 35 weeks of gestation. Antenatal scans had already shown a grossly dilated stomach and bowel. Postnatal abdominal X-ray (AXR) showed a triple bubble sign. During emergency laparotomy, we found that there was a Type III atresia at the second part of duodenum and a Type I atresia at the duodenojejunal junction. Duodeno-duodenostomy, duodeno-jejunostomy, duodenal plication and appendicectomy were done. Post-operatively, he was fasted for almost two weeks due to persistently high nasogastric aspirates. However, with the help of prokinetic drugs, he was finally able to tolerate breast feeding and was discharged home well. |
| first_indexed | 2024-12-14T03:22:28Z |
| format | Article |
| id | doaj.art-c45c17b460c4429884afd727a115bf3d |
| institution | Directory Open Access Journal |
| issn | 2213-5766 |
| language | English |
| last_indexed | 2024-12-14T03:22:28Z |
| publishDate | 2021-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj.art-c45c17b460c4429884afd727a115bf3d2022-12-21T23:18:59ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662021-01-0164101745Double trouble with triple bubble: A rare case of double small bowel atresia in a neonateR. Ramanuja Naidu0Mohd Razin Hassan1Wan Mohd Ruzaimie Wan Mohamad Noor2Mohd Tarmizi Md Nor3Department of Surgery, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia; Hospital Universiti Sains Malaysia, Kelantan, Malaysia; Corresponding author. Department of Surgery, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.Paediatric Surgery Unit, Department of Surgery, Hospital Raja Perempuan Zainab II, Kelantan, MalaysiaPaediatric Surgery Unit, Department of Surgery, Hospital Raja Perempuan Zainab II, Kelantan, MalaysiaPaediatric Surgery Unit, Department of Surgery, Hospital Raja Perempuan Zainab II, Kelantan, MalaysiaWe experienced a rare case of double small bowel atresia (SBA) at our centre. A premature baby boy was born at 35 weeks of gestation. Antenatal scans had already shown a grossly dilated stomach and bowel. Postnatal abdominal X-ray (AXR) showed a triple bubble sign. During emergency laparotomy, we found that there was a Type III atresia at the second part of duodenum and a Type I atresia at the duodenojejunal junction. Duodeno-duodenostomy, duodeno-jejunostomy, duodenal plication and appendicectomy were done. Post-operatively, he was fasted for almost two weeks due to persistently high nasogastric aspirates. However, with the help of prokinetic drugs, he was finally able to tolerate breast feeding and was discharged home well.http://www.sciencedirect.com/science/article/pii/S2213576620303791AtresiaDuodenumJejunum |
| spellingShingle | R. Ramanuja Naidu Mohd Razin Hassan Wan Mohd Ruzaimie Wan Mohamad Noor Mohd Tarmizi Md Nor Double trouble with triple bubble: A rare case of double small bowel atresia in a neonate Journal of Pediatric Surgery Case Reports Atresia Duodenum Jejunum |
| title | Double trouble with triple bubble: A rare case of double small bowel atresia in a neonate |
| title_full | Double trouble with triple bubble: A rare case of double small bowel atresia in a neonate |
| title_fullStr | Double trouble with triple bubble: A rare case of double small bowel atresia in a neonate |
| title_full_unstemmed | Double trouble with triple bubble: A rare case of double small bowel atresia in a neonate |
| title_short | Double trouble with triple bubble: A rare case of double small bowel atresia in a neonate |
| title_sort | double trouble with triple bubble a rare case of double small bowel atresia in a neonate |
| topic | Atresia Duodenum Jejunum |
| url | http://www.sciencedirect.com/science/article/pii/S2213576620303791 |
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