Microperforation of a duodenal diaphragm as a cause of paradoxical gas in congenital duodenal obstruction.
An infant who presented with signs of duodenal atresia had proximal duodenal obstruction by upper gastrointestinal barium study, but had a small amount of air in the distal bowel. Exploration showed an annular pancreas and microperforation of a duodenal diaphragm. Prior to concluding that pancreaticobiliary duct anomalies are the path of air into the distal bowel in patients with duodenal atresia, microperforation of a duodenal diaphragm must be excluded.
Bickler
S W
SW
Department of Surgery, School of Medicine, Oregon Health Sciences University, Portland 97201.
Harrison
M W
MW
Blank
E
E
Campbell
J R
JR
D004380:Duodenal Obstruction / Q000151:congenital* / Q000503:physiopathology; D005740:Gases; D006801:Humans; D007231:Infant, Newborn; D007416:Intestinal Perforation / Q000151:congenital* / Q000503:physiopathology; D008297:Male; D010179:Pancreas / Q000002:abnormalities
D005740:Gases