Proven Cases of Duodenal Atresia on Plain Abdominal Radiography in Correlation With Surgical Findings : a Cases Series
DOI:
https://doi.org/10.33533/jpm.v14i2.1814Keywords:
Duodenal atresia, Bilious vomiting, Double bubble, Plain abdominal radiography, DuodenoduodenostomyAbstract
Duodenal atresia is an emergency congenital abnormality and the most common cause of proximal bowel obstruction in neonates, where the duodenum has not developed properly in embryogenesis with a blind end that cannot be seen through gastric contents. The incidence of duodenal atresia is 1/10,000 live births that commonly affecting boys than girls. In cases of neonatal bilious vomiting, the first choice imaging modality is plain abdominal radiography. The purpose of this case report is to increase radiologist and pediatrician awareness in duodenal atresia diagnosis through plain abdominal radiography and to minimize radiation in the neonates. We report 3 cases of duodenal atresia that were found in Sanglah Hospital, Denpasar in 1 year for the period 2018 - 2019. Case 1: A 4-day-old baby girl presented with bilious vomiting in the first 24 hours after birth. Case 2: A 4-day-old baby boy presented with lethargic, weak crying and groaning after birth. There is no history of passed meconium in the first 24 hours of birth. Case 3: A newborn boy presented with bilious emesis after breastfeeding and non projectile. From the 3 cases, a plain abdominal radiograph was examined and a double bubble sign with no intestinal gas distal was found.
References
[1] Babić VB, Sjekavica I, Jurca I, Čolic A. Conventional radiological diagnostics of the most common patological conditions of the gastrointestinal tract in newborns. Gynaecol Perinatol. 2014;23(1):6–13.
[2] Todd YH, Christine J. Chapter 83 - Surgical Conditions of the Small Intestine in Infants and Children [Internet]. Eighth Edi. Elsevier. Elsevier Inc.; 2020. 970–990 p. Available from: https://doi.org/10.1016/B978-0-323-40232-3.00083-2
[3] Sigmon DF, Eovaldi BJ CH. Duodenal Atresia And Stenosis. NCBI [Internet]. 2020;1–11. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470548/?report=classic
[4] Melinda V, Djajaludin. Diagnosis dan Penatalaksaan Atresia Duodenum. 2013.
[5] Mak G, Lange P, Arca MJ. Duodenal Atresia [Internet]. American Pediatric Surgical Association. 2016 [cited 2016 Feb 11]. p. 1. Available from: https://eapsa.org/parents/learn-about-a-condition/a-e/duodenal-atresia/
[6] Hayden CK, Schwartz MZ, Davis M, Swischuk LE. Combined esophageal and duodenal atresia: Sonographic findings. Am J Roentgenol [Internet]. 1983;140(2):225–6. Available from: https://pubmed.ncbi.nlm.nih.gov/6600333/
[7] Kemenkes RI. InfoDATIN: Kelainan bawaan. Pus Data dan Inf Kemeterian Kesehat RI [Internet]. 2018;1–6. Available from: http://www.depkes.go.id/download.php?file=download/pusdatin/infodatin/infodatin kelainan bawaan.pdf
[8] Widiastuti IDA. Diagnosis dan Tatalaksana Atresia Duodenum [Internet]. Fakultas Kedokteran Universitas Udayana; Available from: file:///C:/Users/user/Downloads/5343-1-8480-1-10-20130501(3).pdf
[9] Free EA, Gerald B. Duodenal Obstruction In The Newborn Duw To Annular Pancreas. Am J Roentgenol [Internet]. 103(2):321–5. Available from: https://www.ajronline.org/doi/pdf/10.2214/ajr.103.2.321
[10] Gharpure V. Duodenal Atresia. J Neonatal Surg [Internet]. 2014;3(4):1–3. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4420424/
[11] Jagatiani N, Ariwala N, Shah J, Ghatala B, Dave a. n., Patel v. b. Antenatal Diagnosis of Duodenal Atresia. Ahmedabad: GUJARAT MEDICAL JOURNAL; 2009. p. 77–8.
[12] Bilal A. Sethi. Intestinal obstruction and the double bubble sign. infant [Internet]. 2016;12(5):175–8. Available from: https://medical.azureedge.net/pdf/2333.pdf
[13] Aydogdu B. Factors affecting early mortality and morbidity in congenital duodenal obstruction: summary of a 20-year experience. Int Surg [Internet]. 2012;6:1–14. Available from: https://www.internationalsurgery.org/doi/pdf/10.9738/INTSURG-D-15-00284.1
[14] Satapara J, Bahri N. Antenatal diagnosis of atresia : USG and MRI findings. Eurorad [Internet]. 2019;1–7. Available from: https://www.eurorad.org/case/16488
[15] Malek A, Afzali N, Abasi N. Comparison of Abdominal X-ray Findings and Results of Surgery in Neonates with Gastrointestinal Obstruction. Mashhad Univ Med Sci [Internet]. 2019;7(1):8877–80. Available from: http://ijp.mums.ac.ir/article_11422.html
[16] Traubici J. The double bubble sign. Radiology. 2001;220(2):463–4.
[17] Fabio Chiarenza S, Bucci V, Luisa Conighi M, Zolpi E, Costa L, Fasoli L, et al. Duodenal Atresia: Open versus MIS Repair-Analysis of Our Experience over the Last 12 Years. Biomed Res Int. 2017;2017.
Downloads
Additional Files
Published
How to Cite
Issue
Section
License
Copyright Notice
All articles submitted by the author and published in the Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan, are fully copyrighted by the publication of Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan under the Creative Commons Attribution-NonCommercial 4.0 International License by technically filling out the copyright transfer agreement and sending it to the publisher
Note :
The author can include in separate contractual arrangements for the non-exclusive distribution of rich versions of journal publications (for example: posting them to an institutional repository or publishing them in a book), with the acknowledgment of their initial publication in this journal.
Authors are permitted and encouraged to post their work online (for example: in an institutional repository or on their website) before and during the submission process because it can lead to productive exchanges, as well as earlier and more powerful citations of published works. (See Open Access Effects).