Affiliation:
1. Voronezh Regional Children’s Clinical Hospital No 1
2. Voronezh State Medical University named after N.N. Burdenko
Abstract
Introduction. A combination of congenital duodenal obstruction (CDO) and situs inversus abdominis (SIA) is an extremely rare case. The present article describes a laparoscopic technique applied for the care in such patient.Case presentation. A newborn girl was admitted to the hospital on the 4th day of her life with regular bile vomiting and weight loss. Examination revealed CDO combined with SIA. After preoperative preparation and condition stabilization, the child was operated on and Kimura duodenoduodenoanastomosis was put. After the performed treatment, duodenal patency was restored. The patient was discharged home in a satisfactory state. She had complete enteral feeding with a good dynamics of weight gain.Conclusion. The described case demonstrates the effectiveness of laparoscopic approach in patients with CDO and SIA hospitalized in a regional children`s hospital.
Publisher
Union of the Medical Community "National Medical Chamber"
Reference13 articles.
1. AlKhlaiwy O., AlMuhsin A.M., Zakarneh E., et al. Laparoscopic cholecystectomy in situs inversus totalis: case report with review of techniques. Int J Surg Case Rep. 2019; 59: 208–12.
2. Nawaz A., Matta H., Hamchou M., et al. Situs inversus abdominus in association with congenital duodenal obstruction: a report of two cases and review of the literature. Pediatr Surg Int. 2005; 21: 589–92.
3. Qiang S., Fan M., Cui Q., Li Z., Zhou Y., Li Q., Li F. Management of duodenal atresia associated with situs inversus abdominus: a case report. Medicine. 2020; 99: 31.
4. Rahul Gupta, Varsha Soni, Prakash Devidas Valse, Ram Babu Goyal, Arun Kumar Gupta, Praveen Mathur Neonatal intestinal obstruction associated with situs inversus totalis: two case reports and a review of the literature. J Med Case Rep. 2017; 11: 264.
5. Kozlov Yu.A., Novozhilov V.A., Rasputin A.A., Syrkin N.V., Podkamenev A.V., Yurkov P.S., Solov'ev A.A., Veber I.N., Kononenko M.I. Laparoskopicheskaya duodenoduodenostomiya v lechenii vrozhdennoi duodenal'noi neprokhodimosti – pervonachal'nyi opyt. Detskaya khirurgiya. 2012; 5: 34–7. Kozlov Yu.A., Novozhilov V.A., Rasputin A.A., Syrkin N.V., Podkamenev A.V., Yurkov P.S., Soloviev A.A., Weber I.N., Kononenko M.I. Laparoscopic duodenoduodenostomy in the management of congenital duodenal obstruction – first experience. Detskaya Khirurgiya. 2012; 5: 34–7. (In Russian)