Congenital Duodenal Obstruction, Situs Inversus Totalis, and Gastric Perforation in a Neonate
We report a rare case of incomplete congenital duodenal obstruction (Type 1 duodenal atresia) in association with situs inversus totalis presenting with gastric perforation in a neonate. The infantogram was suggestive of perforation with air under diaphragm along with dextrocardia. On exploration, a...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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EL-Med-Pub
2017-04-01
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| Series: | Journal of Neonatal Surgery |
| Subjects: | |
| Online Access: | https://www.jneonatalsurg.com/ojs/index.php/jns/article/view/490 |
| _version_ | 1818531921554046976 |
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| author | Rajat Piplani Samir Kant Acharya Deepak Bagga |
| author_facet | Rajat Piplani Samir Kant Acharya Deepak Bagga |
| author_sort | Rajat Piplani |
| collection | DOAJ |
| description | We report a rare case of incomplete congenital duodenal obstruction (Type 1 duodenal atresia) in association with situs inversus totalis presenting with gastric perforation in a neonate. The infantogram was suggestive of perforation with air under diaphragm along with dextrocardia. On exploration, a pin point perforation at fundus near lesser curvature along with situs inversus was noted. Primary closure of gastric perforation was done. Patient was then discharged on full breast feeds but was readmitted with intolerance to feeds and recurrent bilious vomiting. Further, upper GI contrast study revealed partial duodenal obstruction. On re-exploration, duodenal web with central aperture was seen and duodeno-duodenostomy was done. |
| first_indexed | 2024-12-11T17:38:46Z |
| format | Article |
| id | doaj.art-c5edd4db98174b3fbf8e0ef486b239f5 |
| institution | Directory Open Access Journal |
| issn | 2226-0439 |
| language | English |
| last_indexed | 2024-12-11T17:38:46Z |
| publishDate | 2017-04-01 |
| publisher | EL-Med-Pub |
| record_format | Article |
| series | Journal of Neonatal Surgery |
| spelling | doaj.art-c5edd4db98174b3fbf8e0ef486b239f52022-12-22T00:56:36ZengEL-Med-PubJournal of Neonatal Surgery2226-04392017-04-016210.21699/jns.v5i4.463Congenital Duodenal Obstruction, Situs Inversus Totalis, and Gastric Perforation in a NeonateRajat Piplani0Samir Kant Acharya1Deepak BaggaV.M.M.C and Safdarjang HospitalV.M.M.C and Safdarjang HospitalWe report a rare case of incomplete congenital duodenal obstruction (Type 1 duodenal atresia) in association with situs inversus totalis presenting with gastric perforation in a neonate. The infantogram was suggestive of perforation with air under diaphragm along with dextrocardia. On exploration, a pin point perforation at fundus near lesser curvature along with situs inversus was noted. Primary closure of gastric perforation was done. Patient was then discharged on full breast feeds but was readmitted with intolerance to feeds and recurrent bilious vomiting. Further, upper GI contrast study revealed partial duodenal obstruction. On re-exploration, duodenal web with central aperture was seen and duodeno-duodenostomy was done.https://www.jneonatalsurg.com/ojs/index.php/jns/article/view/490Situs inversusDuodenal obstructionDuodenal atresiaGastric perforation |
| spellingShingle | Rajat Piplani Samir Kant Acharya Deepak Bagga Congenital Duodenal Obstruction, Situs Inversus Totalis, and Gastric Perforation in a Neonate Journal of Neonatal Surgery Situs inversus Duodenal obstruction Duodenal atresia Gastric perforation |
| title | Congenital Duodenal Obstruction, Situs Inversus Totalis, and Gastric Perforation in a Neonate |
| title_full | Congenital Duodenal Obstruction, Situs Inversus Totalis, and Gastric Perforation in a Neonate |
| title_fullStr | Congenital Duodenal Obstruction, Situs Inversus Totalis, and Gastric Perforation in a Neonate |
| title_full_unstemmed | Congenital Duodenal Obstruction, Situs Inversus Totalis, and Gastric Perforation in a Neonate |
| title_short | Congenital Duodenal Obstruction, Situs Inversus Totalis, and Gastric Perforation in a Neonate |
| title_sort | congenital duodenal obstruction situs inversus totalis and gastric perforation in a neonate |
| topic | Situs inversus Duodenal obstruction Duodenal atresia Gastric perforation |
| url | https://www.jneonatalsurg.com/ojs/index.php/jns/article/view/490 |
| work_keys_str_mv | AT rajatpiplani congenitalduodenalobstructionsitusinversustotalisandgastricperforationinaneonate AT samirkantacharya congenitalduodenalobstructionsitusinversustotalisandgastricperforationinaneonate AT deepakbagga congenitalduodenalobstructionsitusinversustotalisandgastricperforationinaneonate |