Congenital Duodenal Obstruction, Situs Inversus Totalis, and Gastric Perforation in a Neonate

Authors

  • Rajat Piplani V.M.M.C and Safdarjang Hospital
  • Samir Kant Acharya V.M.M.C and Safdarjang Hospital
  • Deepak Bagga

DOI:

https://doi.org/10.21699/jns.v5i4.463

Keywords:

Situs inversus, Duodenal obstruction, Duodenal atresia, Gastric perforation

Abstract

We report a rare case of incomplete congenital duodenal obstruction (Type 1 duodenal atresia) in association with situs inversus totalis presenting with gastric perforation in a neonate. The infantogram was suggestive of perforation with air under diaphragm along with dextrocardia. On exploration, a pin point perforation at fundus near lesser curvature along with situs inversus was noted. Primary closure of gastric perforation was done. Patient was then discharged on full breast feeds but was readmitted with intolerance to feeds and recurrent bilious vomiting. Further, upper GI contrast study revealed partial duodenal obstruction. On re-exploration, duodenal web with central aperture was seen and duodeno-duodenostomy was done.

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Author Biographies

Rajat Piplani, V.M.M.C and Safdarjang Hospital

ASSISTANT PROFESSOR,

DEPARTMENT PEDIATRIC SURGERY,

VMMC AND SAFDARJUNG HOSPITAL,

NEW DELHI-110029

Samir Kant Acharya, V.M.M.C and Safdarjang Hospital

SENIOR SPECIALIST PEDIATRIC SURGERY,

DEPARTMENT PEDIATRIC SURGERY,

VMMC AND SAFDARJUNG HOSPITAL,

NEW DELHI-110029

Deepak Bagga

PROFESSOR & HOD,

DEPARTMENT PEDIATRIC SURGERY,

VMMC AND SAFDARJUNG HOSPITAL,

NEW DELHI-110029

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Published

2017-04-15

How to Cite

1.
Piplani R, Acharya SK, Bagga D. Congenital Duodenal Obstruction, Situs Inversus Totalis, and Gastric Perforation in a Neonate. J Neonatal Surg [Internet]. 2017Apr.15 [cited 2024Dec.14];6(2):35. Available from: https://jneonatalsurg.com/ojs/index.php/jns/article/view/490