scholarly journals Congenital duodenal atresia with ‘apple-peel configuration’ of the small intestines and absent superior mesenteric artery: A case report and review of literature

2014 ◽  
Vol 2 (5) ◽  
pp. 215-218 ◽  
Author(s):  
Ashraf A. Alnosair ◽  
Mohamed Ibrahim Naga ◽  
Mohamed Ramadan Abdulla ◽  
Ahmed H. Al-Salem
2019 ◽  
Vol 12 (8) ◽  
pp. e230160
Author(s):  
Jyotsna M Kirtane ◽  
Snehal A Bhange ◽  
Fazal Nabi ◽  
Varshil Shah

This is a case report of a neonate who was antenatally diagnosed with jejunal atresia which turned out to be duodenal atresia with apple peel syndrome. A previous sibling, who also had apple peel but with jejunal atresia, succumbed to sepsis after surgery. The first sibling had jejunal stenosis and had died of sepsis following surgery. Combination of duodenal atresia with apple peel is extremely rare. This coupled with a familial condition is rarer still. This case was challenging due to the short length of the gut and prolonged need for total parenteral nutrition and sepsis in postoperative period.


2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Radović V. Saša ◽  
Lazovic Ranko ◽  
Crnogorac Snezana ◽  
Banjac Lidija ◽  
Suhih Djordje

2017 ◽  
Vol 19 ◽  
pp. 31-33 ◽  
Author(s):  
Christian Ovalle-Chao ◽  
Luis Mario Hinojosa-Martinez ◽  
Alejandro Gutierrez-Castillo ◽  
Jose Humberto Velazco-De La Garza ◽  
Eduardo Flores-Villalba ◽  
...  

2005 ◽  
Vol 123 (3) ◽  
pp. 151-153 ◽  
Author(s):  
Claudio de Oliveira Matheus ◽  
Jaques Waisberg ◽  
Maria Helena de Toledo Zewer ◽  
Antonio Claudio de Godoy

CONTEXT: Restorative proctocolectomy with anastomosis of an ileal pouch to the anal canal is a new and rare cause for triggering the syndrome of duodenal compression by the superior mesenteric artery. Restorative proctocolectomy requires assessment of the position of the duodenum in relation to aortomesenteric constriction to avoid the occurrence of duodenal compression by the superior mesenteric artery. CASE REPORT: The authors report on a case of this syndrome in a patient with familial adenomatous polyposis and review the literature on the etiopathogenesis, diagnosis, treatment and prevention of this unusual entity.


2020 ◽  
Vol 9 ◽  
pp. 23
Author(s):  
Samiul Hasan ◽  
Jiaul Reza ◽  
Fatema Sayeed

Background: Though duodenal atresia is relatively common among intestinal atresias, its association with apple peel type of jejunoileal atresia and absent superior mesenteric artery (SMA) is very rare. This association contradicts the well-known embryo pathology of duodenal atresia and could be a management challenge. Case presentation: A 4-day-old preterm male baby presented with bilious vomiting. The X-ray abdomen showed a double bubble sign. Laparotomy revealed atresia of the 3rd part of the duodenum. The SMA was absent and the remaining small gut was short, narrow, and twisted around a narrow vascular pedicle arising from the marginal artery. We resected the most distal part of the dilated duodenum and made a wide end to side anastomosis with distal chimney stoma (Bishop Koop enterostomy). The baby did well in the postoperative period. Conclusion: The surgical management of this rare entity was technically challenging. Bishop Koop enterostomy is a safe option when the primary anastomosis is not possible.


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