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Pediatric Radiology
Published in: Pediatric Radiology 8/2014

01-08-2014 | Case Report

Duodenal atresia: not always a double bubble

Authors: Jonathan M. Latzman, Terry L. Levin, Suhas M. Nafday

Published in: Pediatric Radiology | Issue 8/2014

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Abstract

A newborn infant with a prenatal diagnosis of duodenal atresia and abdominal radiographs demonstrating air in distal bowel is presented. An upper gastrointestinal series revealed complete duodenal obstruction and duodenal atresia was confirmed at surgery. The significance of distal bowel gas and the embryological development of this unusual entity is discussed.
Literature
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Pameijer CR, Hubbard AM, Coleman B et al (2000) Combined pure esophageal atresia, duodenal atresia, biliary atresia, and pancreatic ductal atresia: prenatal diagnostic features and review of the literature. J Pediatr Surg 35:745–747PubMedCrossRef
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Grosfeld JL, Rescorla FJ (1993) Duodenal atresia and stenosis: reassessment of treatment and outcome based on antenatal diagnosis, pathologic variance, and long-term follow-up. World J Surg 17:301–309PubMedCrossRef
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Kassner EG, Sutton AL, De Groot TJ (1972) Bile duct anomalies associated with duodenal atresia; paradoxical presence of small bowel gas. Am J Roentgenol Radium Ther Nucl Med 116:577–583PubMedCrossRef
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Komuro H, Ono K, Hoshino N et al (2011) Bile duct duplication as a cause of distal bowel gas in neonatal duodenal obstruction. J Pediatr Surg 46:2301–2304PubMedCrossRef
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Boyden EA, Cope JG, Bill AH Jr (1967) Anatomy and embryology of congenital intrinsic obstruction of the duodenum. Am J Surg 114:190–202PubMedCrossRef
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Knechtle SJ, Filston HC (1990) Anomalous biliary ducts associated with duodenal atresia. J Pediatr Surg 25:1266–1269PubMedCrossRef
Metadata
Title
Duodenal atresia: not always a double bubble
Authors
Jonathan M. Latzman
Terry L. Levin
Suhas M. Nafday
Publication date
01-08-2014
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Radiology / Issue 8/2014
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-014-2896-1

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