204 results match your criteria Imaging in Duodenal Atresia


Intestinal Atresias.

Pediatr Rev 2022 May;43(5):266-274

Division of Pediatric Surgery, Cohen Children's Medical Center, Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, NY.

Intestinal atresia is a form of congenital bowel obstruction that requires operative repair in the early neonatal period. Duodenal atresia and jejunoileal (JI) atresia are appropriately seen as distinct entities. Both can be suspected with fetal imaging, which can assist with prenatal counseling of families. Read More

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Joubert Syndrome Presenting With Oculomotor Apraxia and Motor Developmental Delay: A Case Report From a Neuro-Ophthalmology Clinic in Saudi Arabia.

Cureus 2022 Jan 26;14(1):e21638. Epub 2022 Jan 26.

Neuro-ophthalmology, Jeddah Eye Hospital, Jeddah, SAU.

Joubert syndrome is an autosomal recessive genetic disorder that was first described in 1969. It can present with neonatal respiratory distress, ocular motility abnormalities, developmental delays, and other congenital cerebellar malformations. It is also connected to autism, hydrocephalus, and duodenal atresia. Read More

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January 2022

Prenatal Detection of Congenital Duodenal Obstruction-Impact on Postnatal Care.

Children (Basel) 2022 Jan 26;9(2). Epub 2022 Jan 26.

Department of Pediatric Surgery, Helios-Klinikum, 13125 Berlin, Germany.

Background: Duodenal obstruction is a rare cause of congenital bowel obstruction. Prenatal ultrasound could be suggestive of duodenal atresia if polyhydramnios and the double bubble sign are visible. Prenatal diagnosis should prompt respective prenatal care, including surgery. Read More

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January 2022

VACTERL association in a fetus with multiple congenital malformations - Case report.

J Med Life 2021 Nov-Dec;14(6):862-867

Department of Obstetrics and Gynecology, Carol Davila University of Medicine and Pharmacy Bucharest, Bucharest, Romania.

VACTERL represents an acronym for a broad spectrum of congenital anomalies such as vertebral anomalies, anorectal anomalies (anal atresia), cardiac anomalies, tracheoesophageal fistula or atresia, renal anomalies, and limb anomalies. We present the case of a male fetus with multiple anomalies consistent with VACTERL association such as scoliosis, imperforate anus, common truncus arteriosus, tracheoesophageal fistula associated with inferior esophagus atresia, polycystic kidneys, with short right ureter, lower limb hypoplasia micrognathia, hygroma, duodenal atresia, and cloacal malformation, with an aberrant omphalomesenteric duct. The presented case highlights the crucial importance of pathologists specialized in the dissection and confirmation of fetal abnormalities as an essential part of the multidisciplinary team that establishes the management of complicated pregnancies with this type of pathology. Read More

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February 2022

The diagnostic accuracy of ultrasound and upper gastrointestinal contrast studies for locating atresia/stenosis and intestinal malrotation and detecting annular pancreas in pediatric patients with duodenal atresia/stenosis.

J Med Ultrason (2001) 2022 Apr 6;49(2):299-309. Epub 2022 Jan 6.

Department of Radiology, Saitama Children's Medical Center, 1-2 Shintoshin, Chuo-ku, Saitama, 330-8777, Japan.

Purpose: This study aimed to evaluate the diagnostic performance of ultrasound to locate atresia/stenosis and other abdominal anomalies in pediatric patients with duodenal atresia/stenosis, including intestinal malrotation and annular pancreas.

Methods: We classified 36 retrospective cases of duodenal atresia/stenosis based on intestinal malrotation status, and evaluated the diagnostic performance of ultrasound/upper gastrointestinal contrast studies to locate atresia/stenosis and intestinal malrotation, as well as ultrasound for detecting additional anomalies such as annular pancreas. The incidence of annular pancreas was compared between groups using Fisher's exact test. Read More

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gastric perforation from combined duodenal and esophageal atresia without consistent polyhydramnios.

J Surg Case Rep 2021 Dec 28;2021(12):rjab551. Epub 2021 Dec 28.

Department of Pediatric Surgery, Children's Hospital Colorado, Denver, CO, USA.

We present a case in which prenatal imaging at 21-weeks' gestation suggested duodenal atresia with a double-bubble sign and enlarged stomach. Fetal magnetic resonance imaging findings demonstrated dilation of the stomach and proximal duodenum favoring duodenal atresia but no indications of esophageal atresia. Subsequent prenatal imaging demonstrated interval spontaneous decompression of the stomach without the development of polyhydramnios, obscuring the diagnosis. Read More

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December 2021

Gastrointestinal Emergency in Neonates and Infants: A Pictorial Essay.

Korean J Radiol 2022 01;23(1):124-138

Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Gastrointestinal (GI) emergencies in neonates and infants encompass from the beginning to the end of the GI tract. Both congenital and acquired conditions can cause various GI emergencies in neonates and infants. Given the overlapping or nonspecific clinical findings of many different neonatal and infantile GI emergencies and the unique characteristics of this age group, appropriate imaging is key to accurate and timely diagnosis while avoiding unnecessary radiation hazard and medical costs. Read More

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January 2022

Saline-Aided Ultrasound Versus Upper Gastrointestinal Series in Neonates and Infants With Suspected Upper Gastrointestinal Obstruction: A Prospective Multicenter Comparative Study.

AJR Am J Roentgenol 2022 03 13;218(3):526-533. Epub 2021 Oct 13.

Department of Medical Ultrasound, Institute for Diagnostic and Interventional Ultrasound, The First Affiliated Hospital of Sun Yat-Sen University, 58 Zhongshan Rd 2, Guangzhou 510080, PR China.

. Use of upper gastrointestinal (UGI) series to diagnose UGI obstruction in neonates and infants has raised concern about increased radiation sensitivity of developing organs. . Read More

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Pyloric atresia and Down's syndrome: prenatal double bubble false sign.

Cir Pediatr 2021 Oct 1;34(4):211-214. Epub 2021 Oct 1.

Pediatric Surgery Department. Toledo Hospital Complex.

Pyloric atresia is a rare malformation, with an incidence of 1:100,000 live newborns. Male to female ratio is 1/1. Typically, it is an isolated malformation, with a good prognosis, but 20-40% of cases present epidermolysis bullosa, and to a lesser extent, multiple intestinal atresias. Read More

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October 2021

Dichorionic twin pregnancy complicated by duodenal atresia and umbilical cord ulceration with intrauterine fetal demise.

Ultrasound Obstet Gynecol 2022 03;59(3):397-398

Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, USA.

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[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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Diagnosis of Annular Pancreas With Congenital Duodenal Stenosis by Endoscopic Ultrasound in a Paediatric Patient.

J Pediatr Gastroenterol Nutr 2021 09;73(3):e79

Department of Pediatric Surgery, Tokyo Women's Medical University Yachiyo Medical Center, Chiba, Japan.

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September 2021

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

Nurs Child Young People 2021 Nov 1;33(6):27-33. 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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November 2021

Ultrasonographic Imaging of the Fetal Duodenal Tract.

J Ultrasound Med 2022 Mar 27;41(3):735-741. 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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Anaesthesia for Antenatal Diagnosed Duodenal Atresia with Undiagnosed Persistent Pulmonary Hypertension of Neonate.

J Nepal Health Res Counc 2021 Jan 22;18(4):792-794. Epub 2021 Jan 22.

Department of Paediatric surgery, Siddhi Memorial Hospital, Bhaktapur, Nepal.

Conversion of fetal circulation to adult-type occurs immediately after birth but neonates with problems in the development of pulmonary vasculature are prone to revert back to fetal circulation. This phenomenon is known as flip-flop circulation which may be induced perioperatively and as such anesthesiologist are central to its management. We report a case of term neonate planned for repair of duodenal atresia that despite having no respiratory symptom preoperatively developed severe hypoxemia under anesthesia that was even unresponsive to 100% oxygen. Read More

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January 2021

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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Gastrointestinal: Abdominal aortic aneurysm caused symptoms mimicking superior mesenteric artery syndrome.

J Gastroenterol Hepatol 2021 Jan 6;36(1):43. Epub 2020 Jul 6.

Department of Gastroenterology and Hepatology, Sapporo Medical University School of Medicine, Sapporo, Japan.

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January 2021

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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Quadruple bubble-a sign of three concomitant malformations.

Prenat Diagn 2021 01;41(1)

Department of Pediatric Surgery, CHUSJ, Faculty of Medicine, Porto, Portugal.

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January 2021

Time to update our counseling on the association of fetal structural abnormalities with aneuploidy.

Authors:
B Liu A Khalil

Ultrasound Obstet Gynecol 2020 10;56(4):628-630

Fetal Medicine Unit, St George's University Hospitals NHS Foundation Trust, University of London, London, UK.

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October 2020

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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