Three laparotomies later: extrinsic duodenal atresia from malrotation complicated by intrinsic duodenal and pyloric windsock webs
Author:
Bengtsson Bengt-Ola S.,Lee Sang,Houten John P. van,Stolar Charles J.H.
Abstract
Abstract
We present a term infant with the unusual findings of malrotation in combination with both duodenal and pyloric webs of windsock type, thus masquerading as postoperative bowel dysfunction and ultimately requiring three laparotomies. To the best of our knowledge these three findings in combination have not been previously reported. The dilemma of whether to perform a duodenotomy or not during malrotation repair and the importance of instrumenting the intestine from the duodenotomy site in both retrograde and antegrade directions are discussed.
Publisher
Walter de Gruyter GmbH
Subject
Obstetrics and Gynecology,Embryology,Pediatrics, Perinatology and Child Health
Reference40 articles.
1. Late and unusual onset of congenital duodenal obstruction due to combination lesion;Minerva Pediatr,2010
2. Duodenal web associated with malrotation and review of the literature;J Surg Case Rep,2013
3. Duodenal web associated with malrotation and review of the literature;J Surg Case Rep,2013
4. Simultaneous duodenal stenosis and duodenal web in a newborn;Radiol Case Rep,2016