Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
8811149 | Journal of Pediatric Surgery Case Reports | 2017 | 4 Pages |
Abstract
Bypass of the atretic duodenal segment through an anomalous pancreatic ductal system is a rare anomaly described in the literature in only a handful of cases. This case report highlights the importance of considering duodenal atresia and pancreaticobiliary enteric bypass in the differential diagnosis of neonates presenting with partial duodenal obstruction. On ultrasound, the presence of gas in the biliary tree or pancreatic duct should alert the physician to the possibility of duodenal atresia with congenital pancreaticobiliary duct anomalies that allow for bypass of enteric contents, including air, into more distal bowel, thereby creating a gas pattern aptly described as double bubble with distal gas.
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Authors
Shruti Sevak, Begum Akay, David A. Bloom,