Congenital duodenal obstruction by membrane in the newborn; case report



Título del documento: Congenital duodenal obstruction by membrane in the newborn; case report
Revista: Belize journal of medicine
Base de datos: PERIÓDICA
Número de sistema: 000418333
ISSN: 2225-8116
Autores: 1
1
Instituciones: 1Karl Heusner Memorial Hospital, Belmopán. Belice
Año:
Periodo: Jul
Volumen: 3
Número: 2
Paginación: 21-23
País: Belice
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Aplicado, descriptivo
Resumen en inglés Congenital membrane type duodenal atresia is a rare pathology (1 x 10,000 to 40,000 live births), It is characterized by incomplete intestinal lumen obstruction with a small orifice or membrane. This happens due to failure of revacuolization at the stage of intestinal growth. Once birth occurs the main symptom is postprandrial vomiting, and no weight gain of the newborn. If these cases are not diagnosed at this stage, there is exacerbation of vomiting that leads to important nutrient deficit. We report a child born at term (40 weeks), weighing 2700gr at birth, with diagnosis of congenital duodenal membrane type atresia after the first 72 hours. Exploratory laparotomy, resection of the intraluminal membrane and duodeduodenostomy were performed by the Kimura technique, leaving transanastomotic feeding tube. Early enteral nutrition was achieved successfully. The child was discharged 14 days postsurgery
Disciplinas: Medicina
Palabras clave: Pediatría,
Cirugía,
Anomalías congénitas,
Diafragma intraluminal,
Laparotomía,
Duodenostomía de Kimura
Keyword: Pediatrics,
Surgery,
Congenital anomalies,
Intraluminal diaphragm,
Laparotomy,
Kimura duodenostomy
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