Duodenal atresia and stenosis are rare causes of intestinal obstruction in the newborn; the prevalence of intrinsic duodenal obstruction (atresia, web, or severe. Failure of duodenal recanalization results in a spectrum of proximal bowel obstruction from stenosis to atresia. Associations between  ‎Abstract · ‎Case presentation · ‎Discussion. Chronic duodenal stenosis is caused by a number of distinct pathologic processes which may involve the first, second, or third portion of the duodenum.


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Associations between congenital duodenal obstruction and other congenital anomalies have been well documented although the coincidence of duodenal stenosis and duodenal web is duodenal stenosis rare, posing a unique diagnostic challenge. An upper gastrointestinal barium contrast study revealed distention of the duodenal bulb with an abrupt narrowing and subsequent dilation at the second duodenal stenosis of the duodenum raising the suggestion of multiple duodenal obstructions.

Simultaneous duodenal stenosis and duodenal web in a newborn

The initial management of any form of intestinal obstruction must include gastric decompression, fluid resuscitation and correction of electrolyte abnormalities, most commonly hypochloremic metabolic alkalosis.

Surgical duodenal stenosis and repair may be safely deferred to allow gradual correction of markedly abnormal electrolytes duodenal stenosis fluid as in our case, as long as there is no concern of possible midgut volvulus. The preferred surgical repair of the primary anomaly is a diamond-shaped proximal transverse to distal longitudinal duodenal stenosis.


For the duodenal stenosis treatment of congenital intrinsic duodenal obstruction Kimura, inintroduced an anastomotic technique of side-to-side duodeno-duodenostomy in two layers, duodenal stenosis the bowel incisions to form a "diamond-shaped" DSD incision and created a larger stoma.

Inhe refined his technique based on a transverse incision in the distal end of the proximal duodenum and a longitudinal incision in the distal duodenum.


CT plays a limited if any role in the evaluation of duodenal atresia. Errors of duodenal re-canalization during duodenal stenosis eighth to the tenth week of embryological development is the main cause of duodenal atresia.

Duodenal stenosis duodenal atresia, there is complete obstruction of the duodenal lumen.

Endoscopic Diagnosis of Duodenal Stenosis in a 5-Month-Old Male Infant

Duodenal stenosis is the term used for narrowing resulting in an duodenal stenosis obstruction of the duodenum lumen. Duodenal stenosis duodenal web is a rarer cause of duodenal obstruction which tends to cause a windsock deformity of the duodenal lumen.

There is no difference in prevalence between the genders. There is an association with VACTERL, annular pancreas, and other bowel atresias including jejunal atresia, ileal atresia, and rectal atresia.

Simultaneous duodenal stenosis and duodenal web in a newborn

History and Physical Duodenal atresia presents early in life as vomiting; which usually occurs within the first 24 to 38 hours of life after the first feeding and progressively worsens if not treated. Sometimes the vomiting may be projectile; which like pylorospasm and gastroesophageal reflux, may simulate hypertrophic pyloric stenosis.

The clinical presentation of bilious vomiting points to congenital intestinal obstruction distal to the ampulla of Vater. Jejunal atresia is a duodenal stenosis defect duodenal stenosis which there is a partial absence of the fold of the stomach membrane that connects the duodenal stenosis intestine to the back wall of the abdomen.

This abnormality causes a portion of the small intestine the jejunal to twist around one duodenal stenosis the arteries of the colon. The appearance of this condition resembles a Christmas tree or apple peel when viewed by a surgeon.

Jejunal atresia may be inherited as an autosomal recessive genetic trait, or may occur sporadically with no known cause. Multiple intestinal atresia is a rare disorder in which there are multiple areas of the intestines with an absence of a normal opening or space.

Duodenal stenosis causes an intestinal blockage. The atresias typically involve: Infants born with this condition may have persistent vomiting and may have swelling just below the breast bone, an empty anal canal, and a hollow or boat shaped abdomen scaphoid abdomen.

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Pyloric stenosis is a digestive disorder that may be apparent soon after birth or during the first few months of life. It may also duodenal stenosis in adults.


However, coffee-ground emesis recurred, and the infant was referred to the emergency department for evaluation.