Situs inversus abdominis in association with duodenal obstruction and internal hernia.
Persistent bile-stained vomiting in a neonate led to a radiologic workup that revealed the existence of a situs inversus and a partial duodenal obstruction. A duodenal diaphragm with a central aperture was diagnosed. Surgery confirmed the preoperative diagnosis. In addition, an annular pancreas with an anterior gap and a right parietocolic internal hernia containing all the small bowel were discovered. Embryologic aspects, therapeutic options, and the literature were discussed.
Department of Surgery A (Pediatric Surgery), Hillel Yaffe Medical Center, Hadera, Israel.
M
M
Iuchtman
Y
Y
Golan
D
D
Heldenberg
F B
FB
Kessler
D000015:Abnormalities, Multiple / Q000175:diagnosis* / Q000601:surgery; D004380:Duodenal Obstruction / Q000151:congenital* / Q000601:surgery; D005260:Female; D006555:Hernia, Ventral / Q000150:complications* / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D012857:Situs Inversus / Q000150:complications* / Q000601:surgery