187 results match your criteria Imaging in Duodenal Atresia


[A case of obstructive jaundice and duodenal stenosis caused by vaginal cancer and retroperitoneal metastasis].

Nihon Shokakibyo Gakkai Zasshi 2021 ;118(6):571-577

Department of Pathology, National Hospital Organization Kyushu Cancer Center.

A 76-year-old woman with a history of radiation therapy for vaginal cancer was referred to our hospital because of fever and hepatobiliary dysfunction. Computed tomography showed stenosis of the lower bile duct and edema-like changes in the duodenum from the descending to transverse parts. Endoscopic biliary stenting was performed according to the rendezvous method. Read More

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Neonatal abdominal X-rays: indications, procedure and interpretation.

Nurs Child Young People 2021 Jun 1. Epub 2021 Jun 1.

Torbay Hospital, Torquay, England.

Abdominal X-rays (AXRs) are one of the most common imaging modalities used to investigate suspected abdominal conditions in neonates. They are frequently requested for a variety of suspected conditions including necrotising enterocolitis, congenital diaphragmatic hernia, duodenal atresia and Hirschsprung's disease. Nurses play an important role in preparing and supporting neonates who are undergoing an AXR, and in some centres advanced neonatal nurse practitioners may be involved in requesting and interpreting AXRs as part of their enhanced role in patient management. Read More

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Ultrasonographic Imaging of the Fetal Duodenal Tract.

J Ultrasound Med 2021 May 27. Epub 2021 May 27.

Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine Unit, Meram Faculty of Medicine, Necmettin Erbakan University, Konya, Turkey.

Objectives: To investigate whether fetal duodenal tract sections can be visualized in the prenatal ultrasonographic examination.

Methods: This study was designed in cross-section. Healthy singleton pregnant women who applied to the perinatology outpatient clinic for second-level ultrasound scanning between September 2020 and February 2021 were included in the study. Read More

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Outcomes of both complex and isolated cases of infants with large stomach on fetal ultrasound.

Am J Obstet Gynecol MFM 2021 01 29;3(1):100272. Epub 2020 Oct 29.

Division of Maternal-Fetal Medicine, Department of Gynecology and Obstetrics, The Johns Hopkins University School of Medicine, Baltimore, MD.

Background: A sonographically large fetal stomach has been associated with gastrointestinal obstruction, per case reports, and is often followed up with serial ultrasound examinations. The frequency of this phenomenon has not been systematically studied, resulting in challenges in counseling parents about the prognosis and making cost-benefit analysis of serial ultrasound follow-up difficult to assess.

Objective: This study aimed to determine the frequency at which an enlarged fetal stomach as the sole abnormality on fetal ultrasound reflects a bowel obstruction to aid in parental counseling and determine the best practice for follow-up. Read More

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January 2021

Diagnostic decision-making tool for imaging term neonatal bowel obstruction.

Clin Radiol 2021 Mar 20;76(3):163-171. Epub 2020 Oct 20.

Department of Radiology, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104, United States; Perelman School of Medicine, University of Pennsylvania, 3400 Civic Center Blvd, Philadelphia, PA 19104, United States.

Term neonatal bowel obstruction is common, and absence of treatment is potentially catastrophic. There is a relatively narrow differential diagnosis, with causes categorised as either low or high bowel obstruction. The commonest causes of low bowel obstruction include anorectal malformations (ARM), Hirschsprung's disease, ileal atresia, meconium ileus, meconium plug, and colonic atresia. Read More

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Adolescent with Superior Mesenteric Artery Syndrome.

J Radiol Case Rep 2020 Mar 31;14(3):14-23. Epub 2020 Mar 31.

Department of Diagnostic Imaging, Kandang Kerbau Women's and Children's Hospital, Singapore.

The underlying etiologies of paediatric bowel obstruction are wide ranging. It can be divided into proximal and distal bowel obstruction. Amongst the different etiologies of the proximal bowel obstructions at the level of the duodenum, there are a few etiologies including duodenal atresia, internal hernias, intestinal malrotation, annular pancreas etc. Read More

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Unique Case of Congenital Duodenal Atresia and a Choledochal Cyst and the Hypothesis of Their Embryological Evolution.

Children (Basel) 2020 Aug 18;7(8). Epub 2020 Aug 18.

Department of Pediatrics, College of Medicine, University of Arizona, Tucson, AZ 85719, USA.

The concomitant occurrence of duodenal atresia (DA) and a choledochal cyst (CC) has rarely been reported. Knowledge of both the presentation and management of this rare co-occurrence is imperative in avoiding potential complications and sequelae, such as biliary metaplasia. Herein we describe a female infant born at 32 weeks gestational age who was diagnosed with duodenal atresia and annular pancreas postnatally, who had subsequent findings of malrotation and a choledochal cyst, as seen from contrast imaging. Read More

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Duodenal Atresia with Bifid Common Bile Duct.

J Pediatr 2020 10 3;225:275. Epub 2020 Jun 3.

New York Presbyterian, Morgan Stanley Children's Hospital Department of Pediatric Radiology and Surgery, New York, New York.

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October 2020

Neonate With Emesis After Every Feed.

Ann Emerg Med 2020 06;75(6):733-743

Division of Emergency Medicine, Department of Pediatrics, Children's Hospital of Michigan, Detroit, MI.

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False-negative Hepatobiliary Scintigraphy for Biliary Atresia.

Nucl Med Mol Imaging 2019 Oct 21;53(5):356-360. Epub 2019 Aug 21.

1Department of Nuclear Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.

We present the case of a patient with biliary and duodenal atresia who showed false-negative hepatobiliary scintigraphy results. The patient was born at 37 weeks and 2 days of gestation. Her mother had undergone amnioreduction after detection of a double-bubble ultrasound sign in the fetal abdomen. Read More

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October 2019

Preliminary Investigation of the Diagnosis of Neonatal Congenital Small Bowel Atresia by Ultrasound.

Biomed Res Int 2019 29;2019:7097159. Epub 2019 Sep 29.

Department of Ultrasound, Shengjing Hospital of China Medical University, Shenyang 110004, China.

Purpose: To assess the diagnostic value of ultrasonography (US) for congenital small bowel atresia (SBA) in neonates and their sonographic characteristics.

Methods: A retrospective analysis was performed of 20 neonates who were confirmed with SBA by operation from March 2014 to January 2019. All the neonates have been scanned by US before surgery, and no one underwent barium enema or upper gastrointestinal imaging prior to US. Read More

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Congenital or acquired? Obstructive jaundice in reoperated duodenal atresia.

BMJ Case Rep 2019 Aug 28;12(8). Epub 2019 Aug 28.

Paediatric Surgery, KK Women's and Children's Hospital, Singapore.

A 55-day-old boy was transferred to our unit with intestinal obstruction and obstructive jaundice after two neonatal operations for duodenal atresia and intestinal malrotation. Abdominal ultrasound showed dilated intrahepatic and extrahepatic ducts with cut-off at the distal common bile duct (CBD). He underwent emergency laparotomy for adhesive intestinal obstruction with a contained abscess from mid-jejunal perforation. Read More

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Duodenal atresia with familial apple peel syndrome: case study with review of literature.

BMJ Case Rep 2019 Aug 26;12(8). Epub 2019 Aug 26.

Pediatric Surgery, Jaslok Hospital and Research Centre, Mumbai, India.

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. Read More

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Comparison of outcomes between complete and incomplete congenital duodenal obstruction.

World J Gastroenterol 2019 Jul;25(28):3787-3797

Department of Pediatric Surgery and Pediatric Urology, University Hospital Frankfurt, Frankfurt 60590, Germany.

Background: Congenital duodenal obstruction (CDO) can be complete (CCDO) or incomplete (ICDO). To date there is no outcome analysis available that compares both subtypes.

Aim: To quantify and compare the association between CCDO and ICDO with outcome parameters. Read More

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Atypical Presentation of Duodenal Atresia Concomitant with Type-A Esophageal Atresia in Fetal Life: A Case Report.

Tokai J Exp Clin Med 2019 Jul 20;44(2):31-33. Epub 2019 Jul 20.

Department of Obstetrics and Gynecology, Specialized Clinical Science, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan.

Duodenal atresia concomitant with type-A esophageal atresia (DA + TA-EA) is rare. A pronounced enlargement of a closed loop of the upper gastrointestinal tract serves as an early clue for its prenatal detection. We describe an atypical case of DA + TA-EA in which the dilatation of the upper gastrointestinal tract remained mild. Read More

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The Double Bubble Sign: Duodenal Atresia and Associated Genetic Etiologies.

Fetal Diagn Ther 2020 5;47(2):98-103. Epub 2019 Jun 5.

Division of Maternal-Fetal Medicine, Department of Gynecology and Obstetrics, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Background: The "double bubble" sign is an ultrasonographic finding that commonly represents duodenal atresia and is associated with trisomy 21.

Objectives: We sought to evaluate the positive predictive value of a prenatally identified double bubble sign for duodenal atresia and the genetic etiologies associated with it.

Methods: We examined a retrospective cohort with prenatal double bubble sign between January 1, 2008, and June 30, 2017. Read More

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November 2020

A neonate with bilious emesis.

BMJ 2019 May 15;365:l1351. Epub 2019 May 15.

Department of Paediatrics, Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China

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Narrow Band Imaging in Pediatric Patient With Portal Hypertension and Duodenal Stenosis.

J Pediatr Gastroenterol Nutr 2019 12;69(6):e158

Division of Pediatric Gastroenterology, Hepatology and Nutrition, Johns Hopkins University School of Medicine, Baltimore, MD.

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December 2019

Laparoscopic total duodenal diversion in the treatment of complex gastroesophageal reflux disease.

Gastroenterol Hepatol 2019 Oct 14;42(8):492-493. Epub 2019 Feb 14.

Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario Santa Lucía, Cartagena, Murcia, España.

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October 2019

Diagnostic value of the acute angle between the prestenotic and poststenotic duodenum in neonatal annular pancreas.

Eur Radiol 2019 Jun 7;29(6):2902-2909. Epub 2019 Jan 7.

Department of Medical Ultrasonics, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, No. 9 Jin Sui Road, Guangzhou, 510623, China.

Objectives: To analyze the ability of upper gastrointestinal (GI) saline-contrast ultrasound (US) to detect neonatal annular pancreas.

Methods: Sixty-two neonates, who presented duodenal obstruction and were examined by upper GI saline-contrast US before treatment, were retrospectively analyzed and categorized into four groups according to their final diagnosis: group A, annular pancreas (n = 28); group B, duodenal atresia (n = 2); group C, descending duodenal septum (n = 25); and group D, normal (n = 7). The ultrasonic characteristics were analyzed that especially focused on whether the angle between the prestenotic and poststenotic descending duodenum (at or below a derived cutoff) could identify neonatal annular pancreas. Read More

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Neonatal echocardiogram in duodenal obstruction is unnecessary after normal fetal cardiac imaging.

J Pediatr Surg 2018 Nov 6;53(11):2145-2149. Epub 2018 May 6.

Oregon Health & Science University, Department of Surgery, Division of Pediatric Surgery, Doernbecher Children's Hospital, Portland, OR, USA. Electronic address:

Background: Duodenal obstruction (DO) is associated with congenital cardiac anomalies that may complicate the delivery of anesthesia during surgical repair. As most infants undergo fetal ultrasounds that identify cardiac anomalies, our aim was to determine the utility of obtaining preoperative neonatal echocardiograms in all DO patients.

Methods: We conducted a retrospective cohort study of all DO patients treated at two tertiary care children's hospitals between January 2005 and February 2016. Read More

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November 2018

Adjusting the length and direction of the redundant duodenal stent using a detachable snare and endoclips.

Dig Endosc 2018 09 13;30(5):686-687. Epub 2018 Jun 13.

Department of Gastroenterology, Cancer Institute Hospital of Japanese Foundation of Cancer Research, Tokyo, Japan.

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September 2018

A novel NKX3-2 mutation associated with perinatal lethal phenotype of spondylo-megaepiphyseal-metaphyseal dysplasia in a neonate.

Eur J Med Genet 2019 Jan 25;62(1):21-26. Epub 2018 Apr 25.

Division of Pediatric Genetics, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey; Department of Medical Genetics, Hacettepe University Faculty of Medicine, Ankara, Turkey.

Spondylo-megaepiphyseal-metaphyseal dysplasia (SMMD) is an autosomal recessive skeletal dysplasia, characterized by disproportionate short stature with a short and stiff neck and trunk. SMMD is caused by inactivating mutations in NKX3-2, which encodes a homeobox-containing protein. Because of the rarity of the disorder, the diagnostic feature has not been fully established yet. Read More

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January 2019

Neonate with mirror image of double bubble sign.

Arch Dis Child Educ Pract Ed 2019 Apr 27;104(2):101-102. Epub 2018 Apr 27.

Department of Pediatrics and Neonatology, B J Wadia Hospital for Children, Mumbai, Maharashtra, India.

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[Characteristics and prognosis of interrupted inferior vena cava with azygous continuation].

Zhonghua Fu Chan Ke Za Zhi 2018 Mar;53(3):149-154

Department of Obstetrics and Gynecology, Peking University People's Hospital, Beijing 100044, China.

To explore the clinical characteristics of interrupted of the inferior vena cava with azygous continuation and the prognosis. Retrospective analysis of 21 fetuses diagnosed with interrupted inferior vena cava with azygous continuation among 28 567 pregnant women who underwent routine ultrasound scan. The clinical data, ultrasonographic features, genetic information and prognosis were collected. Read More

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Double Duodenal Atresia: An Extremely Rare Presentation of Duodenal Obstruction.

J Paediatr Child Health 2018 01;54(1):106-107

Department of Pediatric Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India.

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January 2018

The efficiency of sonography in diagnosing volvulus in neonates with suspected intestinal malrotation.

Medicine (Baltimore) 2017 Oct;96(42):e8287

Department of Medical Ultrasonics, Qianfoshan Hospital Affiliated to Shan Dong University, Jinan, China.

This study is to prospectively evaluate the efficiency of sonography for volvulus diagnosis in neonates with clinically suspected intestinal malrotation.A total of 83 patients with suspected intestinal malrotation who underwent detailed abdominal sonography and upper gastrointestinal contrast study were included. Malrotation was characterized by inversion of the superior mesenteric artery (SMA) and superior mesenteric vein (SMV) in sonographic examination. Read More

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October 2017

Is selective echocardiography in duodenal atresia the future standard of care?

J Pediatr Surg 2017 Dec 2;52(12):1952-1955. Epub 2017 Sep 2.

Department of Paediatric Surgery, The Royal Children's Hospital, Melbourne, Australia; Department of Paediatrics, University of Melbourne, Australia; F. Douglas Stephens Surgical Research Group, Murdoch Children's Research Institute, Melbourne, Australia. Electronic address:

Background: Duodenal atresia (DA) is associated with cardiac defects that may have perioperative care implications. Standard preoperative care includes echocardiography to identify such cardiac defects, but this dogma has been challenged. We aimed to assess selective and selective strategies for preoperative echocardiography in DA patients. Read More

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December 2017