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    Go to the top of the page   ID: 20030602162043 ( 190 times read ) Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    | The Authors | Discussion | Write a Comment to this Case |
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    This case was evaluated as very interesting (Grade 7.7).

     
    Duodenal atresia
    H Eberhardt, S Kallsen. Duodenal atresia. PedRad [serial online] vol 3, no. 6.
    URL: www.PedRad.info/?search=20030602162043


     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    H. Eberhardt (Marburg), S. Kallsen (Landshut)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    Preterm  

     
     Pediatric Radiology CasesGender:

    N/A  

     
     Pediatric Radiology CasesRegion-Organ:

    GI-Duodenum  

     
     Pediatric Radiology CasesMost likely etiology:

    congenital  

     
     Pediatric Radiology CasesHistory:

    Premature infant in the 36. week of gestation. On the 5th day of life, recurrent spitting and loss of weight of 15% since birth.
    Only meconium passage, no transitional stools.

    Abdomen was somewhat distended, otherwise unnoticeable examination.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    Inherent disorder  

     
     Pediatric Radiology CasesRadiological findings:


    X-Ray 1 <- view X-Ray 1

    X-Ray 1: "Double bullbe" phenomenon in the abdominal overview (Stomach and proximal duodenum is filled with air).


     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Surgery / Histo  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    Duodenal atresia, annular pancreas  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    Pediatric-surgical correction: Duodeno-duodenostomy, Duodeno-jeunostomy. In some cases a duodenal membrane can form.

    Finding other malformations before an surgical procedure is important.  

     
     Pediatric Radiology CasesComments of the author about the case:

    N/A  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    1. Medline: Medline
    Saxena A, Willital GH, Lehmann RR
    Chirurgie im Kindesalter; S.243-251 und 259ff in Willital GH, Lehmann RR, 1. Auflage
    Spitta Verlag, 2000
     

     
     Pediatric Radiology CasesKeywords:

    Duodenal stenosis, small intestinal atresia, duodenal atresia, recurrent spitting, recurrent vomiting, distended, no stool passage, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    H Eberhardt, S Kallsen. Duodenal atresia. PedRad [serial online] vol 3, no. 6.
    URL: www.PedRad.info/?search=20030602162043  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: GI-Duodenum
    or in the region: GI
    or in the tissue/organ: Duodenum
    or with the etiology: congenital
     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] View all modalities [ All ]   
     
    Duodenal atresia
    H Eberhardt, S Kallsen. Duodenal atresia. PedRad [serial online] vol 3, no. 6.
    URL: www.PedRad.info/?search=20030602162043


     

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    Duodenal atresia
    Other cases by these authors:

    Search H. Eberhardt in Medline H. Eberhardt (4)   
    Search S. Kallsen in Medline S. Kallsen (2)   

    Duodenal atresia  
     
    Duodenal atresia
    H Eberhardt, S Kallsen. Duodenal atresia. PedRad [serial online] vol 3, no. 6.
    URL: www.PedRad.info/?search=20030602162043


     

    Which diagnosis have other collegues guessed?


    • Jejunal stenosis
      Votes: 4 (10 %)


    • Ilial stenosis
      Votes: 2 (5 %)


    • Colon stenosis
      Votes: 2 (5 %)


    • Duodenal stenosis
      Votes: 29 (74 %)


    • Gut perforation
      Votes: 2 (5 %)



        Total answers: 39

     
    Duodenal atresia
    H Eberhardt, S Kallsen. Duodenal atresia. PedRad [serial online] vol 3, no. 6.
    URL: www.PedRad.info/?search=20030602162043


     

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    How interesting was this case for you?
    (10 = most interesting || 1 = less interesting)
    This case was evaluated as very interesting (Grade 7.7).

     
    Duodenal atresia
    H Eberhardt, S Kallsen. Duodenal atresia. PedRad [serial online] vol 3, no. 6.
    URL: www.PedRad.info/?search=20030602162043


     




    Discussion >> Write Comment <<


    Duodenal atresia:  perforation
    (widhodho t karyomanggolo | 28.06.07)


    Dear sir, nearly 74% guessed gut perforation.Usually in such case we make AP upright position .There is air between the liver and diaphragma or we make the patient lying down with x ray from above or lateral.Indeed ,mostly the etiology is anular pancreas.Thank you.


      re: Duodenal atresia:  perforation
      (Roland Talanow, MD PhD | 28.06.07)


      There was an error in the translation of the statistics. 5 % guessed perforation and 74 % duodenal stenosis.
      Thanks for making us aware of it. It will be fixed.
      Indeed, if there is concern for viscus perforation, a KUB upright or left decubitus radiograph would be best to identify free air between liver and diaphragm.
      Thanks!
      RT



      Duodenal atresia:  My daughter
      (Emily Hatley | 10.04.07)


      My daughter had the same surgery at 5 days old. She also has asthma, reflux, still has her soft spot on top of her head, and is developmentally delayed. none of her doctors have any clue to what kind of diagnosis to give her or what is in store for her future. does this patient have any of the same symptoms? Do you know of any other cases like my daughters?







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