2010, Number 3
<< Back Next >>
Acta Pediatr Mex 2010; 31 (3)
Fenestrated duodenal membrane in a very low weight newborn
Sánchez-Nava J, Jiménez-Urueta PS, Mejía-Sánchez MR, Sánchez-Torres R, Sánchez-Michaca VJ, Aguilar-Aguirre JM
Language: Spanish
References: 16
Page: 129-132
PDF size: 88.19 Kb.
ABSTRACT
Introduction. Intestinal atresia is the main cause of digestive tract obstruction in newborns. Duodenal atresia occurs in less than 5% of live newborns. Diagnosis may be difficult and in most cases is done in late stages. We present the case of a premature very low weight newborn in whom duodenal atresia was suspected with a thoracoabdominal X ray. The patient was operated successfully.
Discussion. Double bubble X ray image with distal air should give the suspicion of duodenal atresia; treatment must be surgical because of the low weight of these children. Morbidity and mortality decreases with adequate intensive care.
REFERENCES
Koushi A, Yoichiro O, Seiichiro H, et al. Modification of the endoscopic management of congenital duodenal stenosis. Turk J Pediatr. 2008;50:182-5.
García Vázquez A, Cano Novillo I, Benavent Gordo ME, López Díaz M, Portela Csalod E, Berchi García FI. Atresia yeyunal membranosa. Tratamiento laparoscópico en período neonatal. Cir Pediatr. 2004;17:101-3.
Anibal EG, Cristian VB, Fabiola TC, Lorena MA, Mauricio LS, Claudio NG. Caso clínico radiológico. Rev Chil Pediatr. 2009;80:79-82.
Jiménez Y, Felipe JH. Atresia intestinal. Experiencia en el Hospital Infantil de Sonora. Rev Mex Cirug Pediatr. 2005;12:127-35.
Keckler SJ, St Peter SD, Spilde TL, Ostlie DJ, Snyder CL. The influence of trisomy 21 on the incidence and severity of congenital heart defects in patients with duodenal atresia. Pediatr Surg Int. 2008;24:921-3.
González RRK, Nieto SA, Cáceres PGU, Rodríguez BI, Piña CVM. Atresia duodenal tipo 1. Reporte de un caso. Med Universitaria. 2006;8:49-51.
Murshed R, Nicholls G, Spitz L. Intrinsic duodenal obstruction: trends in management and outcome over 45 year (1951-1995) with relevance to prenatal counselling. Br J Obstet Gynaecol. 1999;106:1197-9.
Ponce RA, Ávila ZLM, Jiménez UP, Castañeda ORA. Atresia congénita de colon: diagnóstico radiológico. Acta Pediatr Mex. 2007;28:87-9.
Jiménez UP, Alejandro EM, Gallego GJ. Estenosis duodenal congénita de presentación tardía. Informe de tres casos. Rev Mex Cir Ped. 2003;10:153-8.
Okada P, Hiqks B. Neonatal surgical emergencies. Clin Ped Emerg Med. 2002;3:3-13.
Kimura K, Loening-Baucke Y. Bilious vomiting in the newborn: rapid diagnosis of intestinal obstruction. Am Fam Physician. 2000;61:2791-80.
Irish MS, Pearl RH, Caty MG et al. The approach to common abdominal diagnosis in infants and children. Part 1. Pediatr Clin North Am. 1998;45:129-72.
Bax NM, Ure BM, van der Zee DC. Laparoscopic duodenostomy and duodenal atresia. Surg Endoscop. 2001;12:217.
Steyaert H, Valla JS, Van Hoarde E. Diaphragmatic duodenal atresia: laparoscopic repair. Eur J Pediatr Surg. 2003;13:414.
Santilli T, Chen C, Schullinger J. Management of congenital atresia of the intestine. Am J Surg. 1970;119:542.
Blanco RG, Penchyna GJ, Trujillo PA, Nieto ZJ. Primer caso de corrección no quirúrgica de una atresia duodenal tipo membrana fenestrada en un recién nacido mediante sección y ampliación por endosocpia. Bol Med Hosp Infant Mex. 2005;62:45-9.