162 results match your criteria Imaging in Duodenal Atresia


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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http://dx.doi.org/10.1016/j.jpedsurg.2018.04.039DOI Listing
November 2018
1 Read

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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http://dx.doi.org/10.1016/j.ejmg.2018.04.013DOI Listing
January 2019
9 Reads

[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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http://dx.doi.org/10.3760/cma.j.issn.0529-567X.2018.03.002DOI Listing
March 2018
11 Reads

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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http://dx.doi.org/10.1097/MD.0000000000008287DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5662394PMC
October 2017
11 Reads

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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http://dx.doi.org/10.1016/j.jpedsurg.2017.08.046DOI Listing
December 2017
15 Reads

Clinical outcome of pregnancies with the prenatal double bubble sign - a five-year experience from one single centre in mainland China.

J Obstet Gynaecol 2018 Feb 7;38(2):206-209. Epub 2017 Sep 7.

a Guangzhou Women and Children's Medical Center affiliated to Guangzhou Medical University , Guangzhou , China.

The aim of this study was to describe the risk of aneuploidy, associated structural anomalies and clinical outcome in pregnancies with the prenatal double bubble sign. A retrospective study on ultrasound reports and pregnancy outcomes was performed in 71 foetuses with double bubble sign, who were examined at the Guangzhou Women and Children Medical Center during a five-year period. Forty-nine patients had the regular prenatal care since first trimester; of these, 20 had the sonographic sign before 24 weeks and the remaining 29 had the sonographic diagnosis after 24 weeks. Read More

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http://dx.doi.org/10.1080/01443615.2017.1342230DOI Listing
February 2018
11 Reads

A Retrospective Study of Cytogenetic Results From Amniotic Fluid in 5328 Fetuses With Abnormal Obstetric Sonographic Findings.

J Ultrasound Med 2017 Sep 19;36(9):1809-1817. Epub 2017 May 19.

Shanghai Ji Ai Genetics & IVF Institute, Obstetrics and Gynecology Hospital, Fudan University, Shanghai, China.

Objectives: The purpose of this study was to evaluate the diagnostic utility of karyotype analysis of amniotic fluid for fetuses with abnormal sonographic findings and to determine the detection rates of abnormal karyotypes.

Methods: We conducted a retrospective study of 5328 fetuses with abnormal sonographic findings in the first or second trimester enrolled from October 1998 and September 2015. Cytogenetic results from amniotic fluid were obtained in all of these pregnancies. Read More

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http://dx.doi.org/10.1002/jum.14215DOI Listing
September 2017
16 Reads

Detection Rate and Sonographic Signs of Trisomy 21 Fetuses at 14-17 Weeks of Gestation.

Isr Med Assoc J 2017 Jan;19(1):8-12

Department of Obstetrics.

Background: Early prenatal ultrasound is an important part of prenatal screening in Israel. No studies have described the rate of trisomy 21 [T21] identification at 14-17 weeks gestation.

Objectives: To describe the rate of T21 identification by transvaginal sonograms (TVS) at 14-17 weeks gestation. Read More

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January 2017
12 Reads

Twin pregnancy complicated by esophageal atresia, duodenal atresia, gastric perforation, and hypoplastic left heart structures in one twin: a case report and review of the literature.

J Med Case Rep 2017 Mar 18;11(1):64. Epub 2017 Mar 18.

Colorado Fetal Care Center, Colorado Institute of Maternal and Fetal Health, University of Colorado Denver, Anschutz Medical Center, Denver, USA.

Background: The antenatal diagnosis of a combined esophageal atresia without tracheoesophageal fistula and duodenal atresia with or without gastric perforation is a rare occurrence. These diagnoses are difficult and can be suspected on ultrasound by nonspecific findings including a small stomach and polyhydramnios. Fetal magnetic resonance imaging adds significant anatomical detail and can aid in the diagnosis of these complicated cases. Read More

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http://dx.doi.org/10.1186/s13256-016-1195-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5357333PMC
March 2017
16 Reads

Detection of an Infant's Duodenal Atresia by Milk Scan.

Clin Nucl Med 2017 Feb;42(2):140-142

From the Departments of *Nuclear Medicine, †Gastroenterology, and ‡Radiology, Children's Hospital of Fudan University, Shanghai, People's Republic of China.

Duodenal membranous atresia is a rare congenital disease. Here, we present a case of 6-month-old girl referred to us for repeated vomiting since birth. Milk scan was performed, and the results revealed a typical "double-bubble" sign. Read More

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http://dx.doi.org/10.1097/RLU.0000000000001524DOI Listing
February 2017
9 Reads

Gallbladder carcinoma - a rare cause of pyloric-duodenal stenosis.

Rom J Morphol Embryol 2016 ;57(3):1165-1170

Department of Internal Medicine, Faculty of Dental Medicine, "Ovidius" University of Constanta, Romania;

Pyloric duodenal stenosis is usually caused by pyloric, juxtapyloric or duodenal ulcer, or by postbulbar ulcer. Gallbladder cancer (GBC), duodenal diverticula, annular pancreas and superior mesenteric artery syndrome (Wilkie's syndrome) are rare causes of pyloric duodenal stenosis. The case of a 66-year-old female patient is presented. Read More

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May 2017
9 Reads

Impact of fetal counseling on outcome of antenatal congenital surgical anomalies.

Pediatr Surg Int 2017 Feb 18;33(2):203-212. Epub 2016 Nov 18.

Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.

Aim: To analyze the impact of counseling on antenatal congenital surgical anomalies (ACSA).

Methods: Cases presenting with ACSA for fetal counseling and those presenting in post-natal period following diagnosis of ACSA (PACSA) for surgical opinion were analyzed for spectrum, presentation and outcome.

Results: 117 cases including ACSA(68);PACSA(49) were analyzed. Read More

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http://dx.doi.org/10.1007/s00383-016-4015-xDOI Listing
February 2017
4 Reads

Partial annular pancreas.

Proc (Bayl Univ Med Cent) 2016 Oct;29(4):402-403

Departments of Radiodiagnosis and Imaging (Mittal, Jindal, Mittal, S. Singal) and Surgery (R. Singal), M. M. Institute of Medical Sciences and Research, Mullana, Distt-Ambala, Haryana, India.

Annular pancreas is a developmental anomaly that can be associated with other conditions such as Down syndrome, duodenal atresia, and Hirschsprung disease. A band of pancreatic tissue, in continuity with the pancreatic head, completely or incompletely encircles the descending duodenum, sometimes assuming a "crocodile jaw" configuration. We present the case of an adult who presented with epigastric pain and vomiting and was found to have annular pancreas. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5023298PMC
October 2016
8 Reads

Imaging spectrum of nonneoplastic duodenal diseases.

Clin Imaging 2016 Nov - Dec;40(6):1173-1181. Epub 2016 Aug 6.

Department of Internal Medicine, Pratumtani Hospital, 7 Ladlumkaew Muang District, Pratumtani 12000, Thailand. Electronic address:

The duodenum is a short segment of the bowel that is frequently overlooked on radiologic examination. This unique portion occupies both intraperitoneal and extraperitoneal locations, with proximity to many visceral organs, including pancreas, stomach, aorta, and liver. This close proximity creates a differentiation challenge for the radiologist. Read More

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http://dx.doi.org/10.1016/j.clinimag.2016.08.007DOI Listing
January 2017
14 Reads

Association Between Prenatal Sonographic Findings of Duodenal Obstruction and Adverse Outcomes.

J Ultrasound Med 2016 Sep 27;35(9):1931-8. Epub 2016 Jul 27.

Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul Korea.

Objectives: The purpose of this study was to evaluate the association of prenatal sonographic findings with adverse outcomes and the causes of duodenal obstruction.

Methods: A total of 59 cases of congenital duodenal obstruction were included in this study. The sonographic findings, including the degree of duodenal dilatation, polyhydramnios, and their change over gestation, were investigated. Read More

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http://dx.doi.org/10.7863/ultra.15.09074DOI Listing
September 2016
3 Reads

PATHOGENETIC SIGNIFICANCE OF DYSKINESIA OF THE SPHINCTER OF OKSNER IN THE DEVELOPMENT OF THE SYNDROME OF THE SUPERIOR MESENTERIC ARTERY.

Authors:
M D Levin

Eksp Klin Gastroenterol 2016 Jul;12(12):67-72

The goal of this study is to investigate the pathological physiology of superior mesenteric artery syndrome (SMAS).

Materials And Methods: We selected 35 articles devoted to SMAS, which were published from 1990 to 2014, and performed radiometric analysis of X-rays, CT scans and MRI slices found in these articles. In pictures the narrowing in the third part of the duodenum was measured from the boundary of the expanded segment to the level of the superior mesenteric artery (SMA). Read More

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July 2016
2 Reads

Comparative Effectiveness of Imaging Modalities for the Diagnosis of Intestinal Obstruction in Neonates and Infants:: A Critically Appraised Topic.

Acad Radiol 2016 May 5;23(5):559-68. Epub 2016 Feb 5.

Department of Radiology, St. Vincent's University Hospital, Elm Park, Merrion Rd, Dublin 4, Ireland.

Rationale And Objectives: The purpose of this study was to critically appraise and compare the diagnostic performance of imaging modalities that are used for the diagnosis of upper and lower gastrointestinal (GI) tract obstruction in neonates and infants.

Methods: A focused clinical question was constructed and the literature was searched using the patient, intervention, comparison, outcome method comparing radiography, upper GI contrast study, and ultrasound in the detection of upper GI tract obstruction such as duodenal atresia and stenosis, jejunal and ileal atresia, and malrotation and volvulus. The same methods were used to compare radiography and contrast enema in the detection of lower GI tract obstruction such as meconium plug syndrome, meconium ileus, Hirschsprung disease, and imperforate anus. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10766332160001
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http://dx.doi.org/10.1016/j.acra.2015.12.014DOI Listing
May 2016
79 Reads

Defective upper gastrointestinal function after repair of combined esophageal and duodenal atresia.

J Pediatr Surg 2015 Apr 11;50(4):531-4. Epub 2014 Jul 11.

Department of Pediatric Surgery, Hospital Universitario La Paz, Madrid, Spain; INGEMM and Idipaz Research Laboratory, Department of Pediatrics, Universidad Autonoma de Madrid.

Background: Both esophageal atresia (EA) and duodenal atresia (DA) involve deficient anti-reflux barrier, poor esophageal function and eventually, duodenogastric reflux. This study aims at examining the upper gastrointestinal functional status in a cohort of patients with both EA and DA.

Methods: A retrospective survey of patients treated for EA and DA between 1965 and 2012 was conducted. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2014.05.029DOI Listing
April 2015
3 Reads

Diagnostic Accuracy of Prenatal Ultrasound in Identifying Jejunal and Ileal Atresia.

Fetal Diagn Ther 2015 21;38(2):142-6. Epub 2015 Jan 21.

Department of Paediatric and Neonatal Surgery, St. George's Healthcare NHS Trust and University of London, London, UK.

Introduction: Small bowel atresia (SBA) is one of the most common causes of congenital intestinal obstruction. However, the accuracy of prenatal ultrasound in diagnosing this condition has not been entirely ascertained. The aim of this study was to analyse the predictive accuracy of ultrasound in detecting SBA prenatally. Read More

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http://dx.doi.org/10.1159/000368603DOI Listing
May 2016
5 Reads

Coexistence of meconium ileus with duodenal atresia and trisomy 21 in a newborn: a case report.

J Perinatol 2014 Nov;34(11):875-6

IWK Health Centre, Department of Pediatrics, Dalhousie University, Halifax, NS, Canada.

The coexistence of duodenal atresia (DA) may mask the antenatal ultrasound findings of meconium ileus (MI) and delay its postnatal diagnosis. We report a rare case of MI in a newborn infant diagnosed antenatally to have trisomy 21 and DA. The diagnosis of MI was only established intraoperatively after the patient showed persistent signs of intestinal obstruction following the surgical repair of the DA. Read More

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http://dx.doi.org/10.1038/jp.2014.124DOI Listing
November 2014
4 Reads

Wernicke encephalopathy due to thiamine deficiency after surgery on a child with duodenal stenosis.

Pediatr Neurol 2014 Dec 4;51(6):840-2. Epub 2014 Sep 4.

Department of Pediatric Neurology, Hacettepe University Children's Hospital, Ankara, Turkey.

Background: Wernicke encephalopathy is rare in children and is caused by thiamine deficiency. It is characterized by acute or subacute ataxia, altered consciousness, and ophthalmoparesis. Gastroenterological surgery, total parenteral nutrition for short bowel syndrome, and alcoholism are common risk factors for Wernicke encephalopathy. Read More

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http://dx.doi.org/10.1016/j.pediatrneurol.2014.08.034DOI Listing
December 2014
10 Reads

Acquired constricting and restricting lesions of the descending duodenum.

Radiographics 2014 Sep-Oct;34(5):1196-217

From the Department of Radiology, Louisiana State University Health Sciences Center, 1501 Kings Hwy, Shreveport, LA 71103.

The descending duodenum is a structure with distinct pathologic processes and anatomic relationships that requires a systematic approach to the differential diagnosis. Because of its tubular shape and fixed position in the retroperitoneum, both intrinsic duodenal and juxtaduodenal diseases are capable of producing luminal narrowing and obstruction. Duodenal lesions may be located in the mucosa or submucosa. Read More

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http://dx.doi.org/10.1148/rg.345130055DOI Listing
November 2015
21 Reads

Ectopic jejunal pancreas and congenital duodenal stenosis in a newborn patient: an unusual association.

Rom J Morphol Embryol 2014 ;55(2 Suppl):707-10

Discipline of Pediatric Surgery, "Grigore T. Popa" University of Medicine and Pharmacy, "St. Mary" Emergency Children's Hospital, Iassy, Romania;

Congenital duodenal stenosis is one of the most common causes of neonatal obstruction, which is frequently associated with annular pancreas and Down syndrome. Ectopic pancreas is defined as an abnormally situated pancreatic mass that lacks contact with normal pancreas. Although the association between duodenal stenosis and annular pancreas is very common, the presence of an ectopic island of pancreas in such cases is very rare. Read More

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April 2015
10 Reads

Gastrointestinal: gastric outlet obstruction and air pancreatogram in the setting of recurrent acute pancreatitis.

J Gastroenterol Hepatol 2014 ;29(7):1341

Department of Medicine, Division of Gastroenterology & Hepatology, Indianapolis, Indiana, USA; Division of Gastroenterology, Department of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand.

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http://doi.wiley.com/10.1111/jgh.12627
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http://dx.doi.org/10.1111/jgh.12627DOI Listing
March 2015
8 Reads

Fetal stomach paracentesis in combined duodenal and esophageal atresia.

J Med Ultrason (2001) 2014 Jul 14;41(3):397-400. Epub 2014 Jan 14.

Department of Obstetrics and Gynecology, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.

Fetuses with concomitant duodenal atresia (DA) and esophageal atresia (EA) might develop in utero gastric rupture as well as neonatal respiratory complication due to dilated stomach and duodenum. Our patient with the typical "double bubble" appearance was highly suspected to have DA in the second trimester. Follow-up examinations revealed a massively dilated stomach and duodenum with a dilated distal esophagus, indicating concomitant DA and EA. Read More

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http://dx.doi.org/10.1007/s10396-014-0518-zDOI Listing
July 2014
5 Reads

A newly designed stent for management of malignant distal duodenal stenosis.

Cardiovasc Intervent Radiol 2015 Feb 6;38(1):177-81. Epub 2014 May 6.

Department of Interventional Radiology, The First Affiliated Hospital of Nanjing Medical University, No. 300, Guangzhou Road, Gulou District, Nanjing, 210029, China,

Purpose: To evaluate the clinical effectiveness of a newly designed stent for the treatment of malignant distal duodenal stenosis.

Methods: From March 2011 to May 2013, six patients with malignant duodenal stenosis underwent fluoroscopically guided placement of the new duodenal stent consisting of braided, nested stent wires, and a delivery system with a metallic mesh inner layer. Primary diseases were pancreatic cancer in three patients, gastric cancer in two patients, and endometrial stromal sarcoma in one patient. Read More

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http://dx.doi.org/10.1007/s00270-014-0899-9DOI Listing
February 2015
2 Reads

Challenges in the management of bilateral single-system ectopic ureters in male infants.

Urology 2014 Jun 5;83(6):1373-7. Epub 2014 Mar 5.

Department of Paediatric Urology, Nottingham University Hospitals NHS Trust, Queen's Medical Centre, Nottingham, United Kingdom.

Objective: To describe our experience of managing bilateral single-system ectopic ureters in boys.

Methods: We discuss difficulties in diagnosis, importance of appropriate preoperative imaging, and the individualized surgical management for this rare congenital malformation.

Results: The first patient aged 3 months presented with urosepsis-subsequent imaging demonstrated bilateral single-system ectopic ureters, which were reimplanted at age 7 months. Read More

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http://dx.doi.org/10.1016/j.urology.2013.12.047DOI Listing
June 2014
5 Reads

Duodenal atresia: not always a double bubble.

Pediatr Radiol 2014 Aug 21;44(8):1031-4. Epub 2014 Feb 21.

Department of Radiology, Division of Pediatric Radiology, Jack D. Weiler Hospital, Children's Hospital at Montefiore-Albert Einstein College of Medicine, Bronx, NY, USA.

A newborn infant with a prenatal diagnosis of duodenal atresia and abdominal radiographs demonstrating air in distal bowel is presented. An upper gastrointestinal series revealed complete duodenal obstruction and duodenal atresia was confirmed at surgery. The significance of distal bowel gas and the embryological development of this unusual entity is discussed. Read More

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http://dx.doi.org/10.1007/s00247-014-2896-1DOI Listing
August 2014
4 Reads

Second trimester ultrasound markers of fetal aneuploidy.

Clin Obstet Gynecol 2014 Mar;57(1):159-81

*Fetal Medicine Foundation, Dayton †Department of Obstetrics and Gynecology, Wright State University, Dayton, Ohio.

Although it is widely accepted that the best time to screen for chromosomal abnormalities is the first trimester, ultrasound evaluation of the fetus in the second trimester has also been shown to be useful for this purpose. A multitude of markers of varying strength has been developed over the past 30 years. In addition, the optimal time to diagnose fetal anomalies with confidence is also the mid second trimester. Read More

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http://dx.doi.org/10.1097/GRF.0000000000000012DOI Listing
March 2014
16 Reads

Holding the Record for Retention of an Endoscopy Capsule.

J Pediatr Gastroenterol Nutr 2015 Oct;61(4):e17-8

Rady Children's Hospital and the University of California, San Diego.

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http://dx.doi.org/10.1097/MPG.0000000000000303DOI Listing
October 2015
2 Reads

TACRD and VACTERL associations in a fetus: case report and review of the literature.

Int J Pediatr Otorhinolaryngol 2013 Dec 23;77(12):2081-5. Epub 2013 Sep 23.

Department of Ultrasonography, Second Xiangya Hospital of Central South University, Changsha, China.

Tracheal agenesis is a rare and potentially lethal congenital anomaly. The incidence is less than 1/50,000, with a male:female ratio of 2:1. We report the case of a male fetus with complete agenesis of the trachea and a tracheoesophageal fistula arising from the esophagus that connected through the carina, as well as several abnormalities (congenital cardiac abnormalities, duodenal atresia, vertebral defects, anal atresia, renal defects, limb defects, and diaphragmatic hernia). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01655876130046
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http://dx.doi.org/10.1016/j.ijporl.2013.09.016DOI Listing
December 2013
5 Reads

Monochorionic twin fetus with VACTERL association after intracytoplasmic sperm injection.

Congenit Anom (Kyoto) 2013 Jun;53(2):95-7

Departments of Obstetrics and Gynecology Neonatology, Iwate Medical University School of Medicine, Morioka, Japan.

We report a rare case of a monochorionic twin gestation after intracytoplasmic sperm injection (ICSI) in which one of the fetuses had VACTERL association. A 27-year-old woman became pregnant by ICSI and was found to have monochorionic twin fetuses. One fetus was noted to have the following anomalies: a multicystic, dysplastic left kidney with a hydroureter, and a dilated colon. Read More

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http://dx.doi.org/10.1111/j.1741-4520.2012.00373.xDOI Listing
June 2013
9 Reads

Prenatal diagnosis of a rare sonographic appearance of duodenal atresia: report of 2 cases and literature review.

J Ultrasound Med 2012 Nov;31(11):1829-33

Department of Obstetrics and Gynecology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.

We report 2 cases of a rare sonographic appearance of duodenal atresia. The first was associated with severe hydramnios and a small, centrally located stomach. After birth due to recurrent pneumonia, bronchoscopy revealed a type 4 laryngotracheoesophageal cleft. Read More

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November 2012
3 Reads

Haploinsufficiency of retinaldehyde dehydrogenase 2 decreases the severity and incidence of duodenal atresia in the fibroblast growth factor receptor 2IIIb-/- mouse model.

Surgery 2012 Oct;152(4):768-75; discussion 775-6

Department of Surgery, Section of Pediatric Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.

Background: Homozygous null mutation of the fibroblast growth factor receptor 2IIIb (Fgfr2IIIb) gene in mice results in 42% of embryos developing duodenal atresias. Retinaldehyde dehydrogenase 2 (Raldh2, a gene critical for the generation of retinoic acid) is expressed in the mouse duodenum during the temporal window when duodenal atresias form. Raldh2 is critical for the normal development of the pancreatoduodenal region; therefore, we were interested in the effect of a Raldh2 mutation on duodenal atresia formation. Read More

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http://dx.doi.org/10.1016/j.surg.2012.07.022DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3665403PMC
October 2012
1 Read

Ophthalmic and systemic findings in interstitial deletions of chromosome 14q: a case report and literature review.

Ophthalmic Genet 2012 09 9;33(3):161-6. Epub 2012 Apr 9.

Michigan State University, Metro Health Hospital, WY 49519, USA.

We report a patient with clinical anophthalmia, partial eyelid fusion and a hypoplastic socket on the right. The left eye has microphthalmia involving the anterior and posterior segments, microcornea, iris coloboma, chorioretinal dysgenesis, macular dysplasia, absence of retinal vessels, and optic nerve aplasia. Systemic abnormalities include microcephaly, bilateral hearing loss, and duodenal atresia. Read More

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http://dx.doi.org/10.3109/13816810.2012.655359DOI Listing
September 2012
21 Reads

[Jarcho-Levin syndrome associated with maternal hypothyroidism].

Rev Med Inst Mex Seguro Soc 2011 Sep-Oct;49(5):541-6

Departamento de Cirugía Pediátrica, Hospital General de Zona 1, Instituto Mexicano del Seguro Social, Zacatecas, México.

Background: Jarcho Levin syndrome is an eponymous syndrome consisting with a set of multiple vertebral and rib anomalies, characterized by a short neck, short trunk and short height, which trigger respiratory failure and early neonatal death. The frequency and spectrum of morphological defects in the environment is unknown. This article reports a case. Read More

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March 2012
2 Reads

Bile duct duplication as a cause of distal bowel gas in neonatal duodenal obstruction.

J Pediatr Surg 2011 Dec;46(12):2301-4

Department of Pediatric Surgery, University of Tsukuba, Tsukuba, Ibaraki, Japan.

Purpose: The aim of this study is to investigate the clinical characteristics of cases of duodenal atresia (DA) which present with bowel gas distal to a typical double-bubble sign through an anomalous bile duct conduit.

Methods: Medical records of 57 neonates with duodenal obstruction (atresia or stenosis), presenting with a double-bubble sign and treated at our institute from 1978 to 2010, were retrospectively reviewed.

Results: Thirteen (23%) of 57 neonates presented with bowel gas distal to the double-bubble sign. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2011.09.018DOI Listing
December 2011
5 Reads

Right-sided congenital diaphragmatic hernia, hepatic pulmonary fusion, duodenal atresia, and imperforate anus in an infant.

J Pediatr Surg 2011 Jul;46(7):1432-4

Department of Surgery, Children's Hospital Los Angeles, and Keck School of Medicine, University of Southern California, Los Angeles, CA 90027, USA.

We present a case of a neonate with VACTERL-like association, with the VACTERL association defined as the non-random association of vertebral, anal, cardiac, esophageal, renal/kidney, and limb defects, as manifested by a hemivertebra, imperforate anus, and digit anomalies, in rare association with duodenal atresia and right-sided diaphragmatic hernia. This constellation is previously undescribed and may offer insight into the pathogenesis of VACTERL and associated birth defects. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2011.01.024DOI Listing
July 2011
12 Reads

Cholangitis and choledocholithiasis after repair of duodenal atresia: a case report.

Acta Med Iran 2011 ;49(4):269-74

Department of Surgery, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, India.

Cholelithiasis is a rare but known complication of surgery for duodenal atresia. Occurrence of choledocholithiasis as sequelae of duodenoduodenostomy is still rarer. Biliary stasis resulting from compression of common bile duct due to periductal fibrosis may predispose to gallstone formation. Read More

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October 2011

[Maternal Ehlers-Danlos syndrome type II occuring with foetal duodenal atresia and annular pancreas: first description].

Z Geburtshilfe Neonatol 2011 Apr 3;215(2):83-5. Epub 2011 May 3.

Frauenklinik, Städt. Kliniken Mönchengladbach, Elisabeth-Krankenhaus Rheydt.

A double-bubble sign was detected by ultrasonography in a GII, PII, who suffers from Ehlers-Danlos syndrome type II. The delivery was done by Caesarean section based on the suspicion of premature placental separation. Postnatally, the child was found to have duodenal atresia caused by an annular pancreas. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0031-1275309
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http://dx.doi.org/10.1055/s-0031-1275309DOI Listing
April 2011
5 Reads

Alveolar capillary dysplasia associated with duodenal atresia: ultrasonographic findings of enlarged, highly echogenic lungs and gastric dilatation in a third-trimester fetus.

J Obstet Gynaecol Res 2011 Jul 16;37(7):937-9. Epub 2011 Mar 16.

Department of Obstetrics and Gynecology, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Ibaraki, Japan.

We report a case of alveolar capillary dysplasia, wherein duodenal atresia was diagnosed during the third trimester. A 36-year-old mother was referred to our hospital for polyhydramnios at 31 weeks' gestation. Duodenal atresia was suspected from the ultrasonographic findings, which showed gastric dilation. Read More

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http://doi.wiley.com/10.1111/j.1447-0756.2010.01447.x
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http://dx.doi.org/10.1111/j.1447-0756.2010.01447.xDOI Listing
July 2011
4 Reads

Duodenal web in an adult presenting with acute pancreatitis and acquired megaduodenum: report of a case.

Surg Today 2011 Mar 2;41(3):426-9. Epub 2011 Mar 2.

Department of Surgery, University College of London Hospital NHS Foundation Trust, London, UK.

Duodenal webs are a cause of intestinal atresia in infants and surgical repair is the established treatment of choice. However, the late-onset postoperative complications have not been adequately studied, especially in adults who have undergone surgical interventions as infants. This report describes the case of a 65-year-old female patient who presented with consecutive episodes of acute pancreatitis and a history of duodenal atresia repaired by a gastrojejunostomy in early infancy. Read More

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http://dx.doi.org/10.1007/s00595-009-4261-9DOI Listing
March 2011
2 Reads

[Diagnostic imaging evaluation of neonatal vomiting].

J Radiol 2011 Feb;92(2):134-41

Maternité régionale de Nancy, service d'imagerie périnatale et de la femme, 10, rue du Dr-Heydenreich, 54042 Nancy cedex, France.

Vomiting during the neonatal period is frequent. The purpose is to detect neonates and infants with digestive pathology requiring urgent management such as duodenal atresia, small bowel volvulus, acute intussusception, and hypertrophic pyloris stenosis. All of these conditions may be diagnosed by ultrasound which should be performed when clinically suspected. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S02210363100002
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http://dx.doi.org/10.1016/j.jradio.2010.12.007DOI Listing
February 2011
2 Reads

Down's syndrome, duodenal atresia with paradoxical presence of distal bowel gas.

J Perinatol 2011 Mar;31(3):223-4

Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, MO 63110, USA.

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http://dx.doi.org/10.1038/jp.2010.151DOI Listing
March 2011
2 Reads

Fetal extraperitoneal rectal perforation presenting after duodenal atresia repair.

J Pediatr Surg 2010 Dec;45(12):2447-9

Department of Paediatric Surgery, Queen's Medical Centre, Nottingham University Hospital, Nottingham NG7 2UH, UK.

Fetal extraperitoneal rectal perforation (FERP) is a very rare condition, but prompt diagnosis and appropriate treatment produce overall good outcome. We report the first case of FERP known to be associated with duodenal atresia, which only became clinically apparent after duodenal atresia repair and initially presented a diagnostic difficulty. Our case was successfully treated with a defunctioning colostomy and subsequent excision of the pseudocyst cavity. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2010.08.063DOI Listing
December 2010
1 Read

Ectopic opening of the common bile duct and duodenal stenosis: an overlooked association.

BMC Gastroenterol 2010 Dec 4;10:142. Epub 2010 Dec 4.

Türkiye Yüksek İhtisas Hospital, Department of Gastroenterology, Ankara, Turkey.

Background: Ectopic opening of the common bile duct into the duodenal bulb (EO-CBD-DB) is a rare disease that may be complicated by duodenal ulcer, deformity, stenosis and biliary stones. The aim of this study is to report clinical presentations, endoscopic diagnosis and treatment of this entity as well as to investigate its association with duodenal stenosis.

Methods: Gastroduodenoscopic findings and radiological imaging were evaluated for ectopic papilla and duodenal stenosis. Read More

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http://dx.doi.org/10.1186/1471-230X-10-142DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3003235PMC
December 2010
8 Reads

Initial report of a variable stiffness duodenoscope for use during endoscopic retrograde cholangiopancreatography.

Authors:
Douglas G Adler

J Clin Gastroenterol 2011 Aug;45(7):590-2

Gastroenterology and Hepatology, Huntsman Cancer Center, University of Utah School of Medicine, Salt Lake City, UT, USA.

Goals: To evaluate a new variable stiffness duodenoscope.

Background: Variable stiffness colonoscopies have been in use for nearly a decade. We report the initial experience with a new, variable stiffness duodenoscope for use during endoscopic retrograde cholangiopancreatography (ERCP). Read More

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https://insights.ovid.com/crossref?an=00004836-201108000-000
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http://dx.doi.org/10.1097/MCG.0b013e3181f42d85DOI Listing
August 2011
1 Read

Situs inversus abdominalis and duodenal atresia: a case report and review of the literature.

S Afr J Surg 2009 Nov;47(4):127-30

Department of Paediatric Surgery, Red Cross War Memorial Children's Hospital and University of Cape Town.

Fewer than 20 patients born with situs inversus and duodenal atresia have been reported in the literature. We present a patient with this condition. A newborn baby presented shortly after birth with persistent bilious vomiting. Read More

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http://www.scielo.org.za/pdf/sajsurg/v47n4/06.pdf
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November 2009
1 Read