Biliary Tract Abnormalities as a Cause of Distal Bowel Gas in Neonatal Duodenal Atresia

BACKGROUND: The presence of distal bowel gas in an infant does not exclude the diagnosis of duodenal atresia. CASE PRESENTATION: We report a term neonate with Down syndrome. The infant developed vomiting and cyanosis with each feeding soon after birth. Plain film abdominal X-rays showed a nonspecifi...

Descripción completa

Detalles Bibliográficos
Autores principales: Puvabanditsin, Surasak, Botwinick, Marissa, Chen, Charlotte Wang, Joshi, Aditya, Mehta, Rajeev
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6038581/
https://www.ncbi.nlm.nih.gov/pubmed/30046504
http://dx.doi.org/10.1155/2018/8041427
_version_ 1783338523949006848
author Puvabanditsin, Surasak
Botwinick, Marissa
Chen, Charlotte Wang
Joshi, Aditya
Mehta, Rajeev
author_facet Puvabanditsin, Surasak
Botwinick, Marissa
Chen, Charlotte Wang
Joshi, Aditya
Mehta, Rajeev
author_sort Puvabanditsin, Surasak
collection PubMed
description BACKGROUND: The presence of distal bowel gas in an infant does not exclude the diagnosis of duodenal atresia. CASE PRESENTATION: We report a term neonate with Down syndrome. The infant developed vomiting and cyanosis with each feeding soon after birth. Plain film abdominal X-rays showed a nonspecific gas-filled stomach and small bowel. Duodenal atresia and an anomalous common bile were noted on an upper GI study and exploratory laparotomy. CONCLUSION: In the absence of a “double bubble” appearance and intestinal gas distally on a plain radiograph, one must not exclude duodenal atresia as the differential diagnosis.
format Online
Article
Text
id pubmed-6038581
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Hindawi
record_format MEDLINE/PubMed
spelling pubmed-60385812018-07-25 Biliary Tract Abnormalities as a Cause of Distal Bowel Gas in Neonatal Duodenal Atresia Puvabanditsin, Surasak Botwinick, Marissa Chen, Charlotte Wang Joshi, Aditya Mehta, Rajeev Case Rep Surg Case Report BACKGROUND: The presence of distal bowel gas in an infant does not exclude the diagnosis of duodenal atresia. CASE PRESENTATION: We report a term neonate with Down syndrome. The infant developed vomiting and cyanosis with each feeding soon after birth. Plain film abdominal X-rays showed a nonspecific gas-filled stomach and small bowel. Duodenal atresia and an anomalous common bile were noted on an upper GI study and exploratory laparotomy. CONCLUSION: In the absence of a “double bubble” appearance and intestinal gas distally on a plain radiograph, one must not exclude duodenal atresia as the differential diagnosis. Hindawi 2018-06-26 /pmc/articles/PMC6038581/ /pubmed/30046504 http://dx.doi.org/10.1155/2018/8041427 Text en Copyright © 2018 Surasak Puvabanditsin et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Puvabanditsin, Surasak
Botwinick, Marissa
Chen, Charlotte Wang
Joshi, Aditya
Mehta, Rajeev
Biliary Tract Abnormalities as a Cause of Distal Bowel Gas in Neonatal Duodenal Atresia
title Biliary Tract Abnormalities as a Cause of Distal Bowel Gas in Neonatal Duodenal Atresia
title_full Biliary Tract Abnormalities as a Cause of Distal Bowel Gas in Neonatal Duodenal Atresia
title_fullStr Biliary Tract Abnormalities as a Cause of Distal Bowel Gas in Neonatal Duodenal Atresia
title_full_unstemmed Biliary Tract Abnormalities as a Cause of Distal Bowel Gas in Neonatal Duodenal Atresia
title_short Biliary Tract Abnormalities as a Cause of Distal Bowel Gas in Neonatal Duodenal Atresia
title_sort biliary tract abnormalities as a cause of distal bowel gas in neonatal duodenal atresia
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6038581/
https://www.ncbi.nlm.nih.gov/pubmed/30046504
http://dx.doi.org/10.1155/2018/8041427
work_keys_str_mv AT puvabanditsinsurasak biliarytractabnormalitiesasacauseofdistalbowelgasinneonatalduodenalatresia
AT botwinickmarissa biliarytractabnormalitiesasacauseofdistalbowelgasinneonatalduodenalatresia
AT chencharlottewang biliarytractabnormalitiesasacauseofdistalbowelgasinneonatalduodenalatresia
AT joshiaditya biliarytractabnormalitiesasacauseofdistalbowelgasinneonatalduodenalatresia
AT mehtarajeev biliarytractabnormalitiesasacauseofdistalbowelgasinneonatalduodenalatresia

Ejemplares similares