Metabolic Alkalosis resulting from a Congenital Duodenal Diaphragm

Annalisa Passariello; Ylenia Maddalena; Monica Malamisura; Silvana Rojo; Nunzia Aragione; Emilia Iaccarino; Giuseppina Franco; Paolo Giliberti

doi:10.47338/jns.v3.138

Metabolic Alkalosis resulting from a Congenital Duodenal Diaphragm

Journal of Neonatal Surgery ◽

10.47338/jns.v3.138 ◽

2014 ◽

Vol 3 (4) ◽

Author(s):

Annalisa Passariello ◽

Ylenia Maddalena ◽

Monica Malamisura ◽

Silvana Rojo ◽

Nunzia Aragione ◽

...

Keyword(s):

Intestinal Obstruction ◽

Metabolic Alkalosis ◽

Duodenal Diaphragm

Duodenal diaphragm is an unusual cause of upper intestinal obstruction. We present here a neonate with duodenal diaphragm who presented with features of metabolic alkalosis. Further, an algorithm of management of metabolic alkalosis in a newborn is suggested.

Download Full-text

A rare cause of intestinal obstruction in the adult: duodenal diaphragm

Revista Española de Enfermedades Digestivas ◽

10.4321/s1130-01082012000800014 ◽

2012 ◽

Vol 104 (8) ◽

pp. 445-446

Author(s):

Manuel Alfonso Jiménez-Moreno ◽

Carolina Fernández-Crehuet ◽

Blanca Ferreiro-Argüelles ◽

Josefa Calle-Calle ◽

Raúl Andrade-Bellido

Keyword(s):

Intestinal Obstruction ◽

Duodenal Diaphragm

Download Full-text

Severe muscle fasciculations and tremor in a cat with hypochloraemic metabolic alkalosis secondary to duodenal obstruction

Journal of Feline Medicine and Surgery Open Reports ◽

10.1177/2055116916686427 ◽

2017 ◽

Vol 3 (1) ◽

pp. 205511691668642

Author(s):

Alison Jukes ◽

Marcus Gunew ◽

Rhett Marshall

Keyword(s):

Foreign Body ◽

Intestinal Obstruction ◽

Duodenal Obstruction ◽

Metabolic Alkalosis ◽

Clinical Signs ◽

Complete Recovery ◽

Acid Base ◽

Case Summary ◽

Cerebellar Diseases ◽

History Of

Case summary An 18-month-old, female spayed, Australian Mist cat presented with a 24 h history of muscle tremors and inappetence progressing to collapse with generalised muscle fasciculations. The cat was diagnosed with a hypochloraemic metabolic alkalosis due to a duodenal foreign body found to be a trichobezoar at coeliotomy. The cat made a complete recovery after enterotomy to remove the trichobezoar, with cessation of neuromuscular clinical signs and normalisation of its electrolyte and acid–base imbalances. Relevance and novel information Muscle fasciculations and tremors in cats can be caused by intoxications, metabolic derangements, encephalomyelitis, feline hyperaesthesia syndrome and cerebellar diseases. The presenting clinical signs of severe muscle fasciculations and tremors have not previously been reported in association with an intestinal obstruction in the cat.

Download Full-text

The Effect of Vomiting Due to Intestinal Obstruction on the Serum Potassium

Gastroenterology ◽

10.1016/s0016-5085(49)80005-9 ◽

1949 ◽

Vol 12 (1) ◽

pp. 49-56 ◽

Cited By ~ 13

Author(s):

Samuel Bellet ◽

Carl S. Nadler ◽

Peter C. Gazes ◽

Mary Lannzng

Keyword(s):

Intestinal Obstruction ◽

Serum Potassium

Download Full-text

Two Siblings with Total Colonic Aganglionosis Extended to the Ileum

Swiss Surgery ◽

10.1024/1023-9332.9.4.187 ◽

2003 ◽

Vol 9 (4) ◽

pp. 187-189

Author(s):

Aslan ◽

Caglar ◽

Karagüzel ◽

Melikoglu

Keyword(s):

Intestinal Obstruction ◽

Loop Ileostomy ◽

Good Condition ◽

Disease Type ◽

Definitive Treatment ◽

Entire Colon ◽

Total Colonic Aganglionosis ◽

Protective Ileostomy ◽

Definitive Surgery ◽

Partial Intestinal Obstruction

Total colonic aganglionosis (TCA) extended to the ileum is seen quite rare among infants with Hirschsprung's disease. Type and timing of definitive surgery in these patients are controversial. This report was presented to discuss the management of two siblings with TCA. Case 1: A two-day-old girl was operated for partial intestinal obstruction. During laparotomy, serial frozen biopsies proved TCA extended to the terminal ileum and a loop ileostomy was performed. At five months of age, a modified Duhamel-Martin procedure without protective ileostomy was performed. An endo-GIA stapler was transanally used for colo-ileal anastomosis. She is doing well for the last five years. Case 2: A one-day-old boy admitted to the hospital with similar findings to his sister. Frozen biopsies during first laparotomy proved that majority of ileum and entire colon was aganglionic and a proximal ileostomy was performed. At 10 months of age, he underwent a similar Duhamel-Martin operation. He is in a good condition for the last four years. Conclusion: In infants, our modification on Duhamel-Martin procedure, which is based on the use of an endo-GIA stapler transanally for colo-ileal anastomosis without protective ileostomy, may be utilized as an alternative method in the definitive treatment of patients with TCA.

Download Full-text