Closed loop foregut obstruction in a premature neonate
Section snippets
Case report
A premature baby girl, delivered at 27 weeks' gestation, weighing 862 g, was transferred to our neonatal intensive care unit on the first day of life. The patient was born to a 19-year-old, G2P1A1 mother with a history of polyhydramnios, preterm labor, and prolonged premature rupture of membranes. Fetal ultrasound had demonstrated a double bubble. The mother was delivered by cesarean section for a footling breech. Apgar scores were 8 and 9, at 1 and 5 minutes, respectively. The baby was
Discussion
Haller and Cahill [10] published the first report of combined obstruction of the stomach and duodenum. Interestingly, that patient was initially incorrectly diagnosed with duodenal obstruction only and underwent a second laparotomy for repair of the pyloric atresia [10]. A hereditary form of multiple atresia, starting in the foregut and involving the entire gastrointestinal tract, was first reported by Guttman et al [12] in 1973 and more recently reviewed by Lambrecht and Kluth [13]. In the
Acknowledgment
Ms Chen was supported by a summer research grant from the Department of Surgery, University of California Irvine School of Medicine.
References (15)
- et al.
Multiple intestinal atresia
J Pediatr Surg
(1970) - et al.
Congenital duodenal obstruction: a 32-year review
J Pediatr Surg
(1993) - et al.
Annular pancreas in children: a recent decade's experirence
J Pediatr Surg
(2004) - et al.
Pyloric atresia associated with intestinal atresia. Letter
J Pediatr Surg
(1997) - et al.
Pyloric atresia associated with multiple intestinal atresias and pylorocholedochal fistula
J Pediatr Surg
(2002) - et al.
Multiple atresias and a new syndrome of hereditary multiple atresias involving the gastrointestinal tract from stomach to rectum
J Pediatr Surg
(1973) - et al.
Hereditary multiple atresias of the gastrointestinal tract: report of a case and review of the literature
J Pediatr Surg
(1998)