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KMID : 0377619760300060711
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Korean Jungang Medical Journal
1976 Volume.30 No. 6 p.711 ~ p.715
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Congenital Duodenal Atresia - A Case Report -
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Abstract
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Duodenal atresia in the newborn infant is an uncommon congenital anomaly which may be due to a primary developmental defect of the intestine.
Vomiting is the first and most characteristic symptom, usually begins within
few hours after delivery. The vomitus is usually bile-stained.
In most cases, the diagnosis can be confirmed by an upright X-ray of the abdomen demonstrating the double bubble appearance. Unless other anomaly or pre maturity is associated, either duodenoplasty ors by pass procedures has been, shown to be the most effective one.
We recently experienced a case of the congenital, duodenal atresia of 3 days .old female newborn. An upright X-ray of the abdomen failed to show the typical double bubble appearance, therefore definite diagnosis was made by Hypauge opacification through nasogastric tube. Being no other anomaly associa￢ted with this infant, prompt surgical intervention was undertaken after minimal time, spent for correction of fluid and electrolytes imbalance.
A duodeno je junostomy was done and she left hospital uneventfully on tenth postoperative day.
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KEYWORD
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