Simultaneous correction of duodenal atresia due to annular pancreas and malrotation by laparoscopy.
We report the case of a 3450 g newborn girl with prenatally diagnosed duodenal obstruction. At operation, duodenal atresia due to annular pancreas and intestinal, partially volvulated malrotation became apparent. Surgical correction was completely laparoscopic with 3-mm instruments. The operation consisted of reduction of the volvulated bowel loops, division of obstructing bands, and creation of a side-to-side duodenoduodenostomy. The technique, described in detail, proved to be feasible. No postoperative complication occurred and the girl is doing well 4 months postoperatively.
Glüer
S
S
Department of Paediatric Surgery, Hannover Medical School, Hannover, Germany. glueer.sylvia@mh-hannover.de
Petersen
C
C
Ure
B M
BM
D004380:Duodenal Obstruction / Q000151:congenital* / Q000601:surgery*; D004385:Duodenostomy / Q000379:methods*; D006801:Humans; D007231:Infant, Newborn; D007409:Intestinal Atresia / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods; D010179:Pancreas / Q000002:abnormalities*; D011296:Prenatal Diagnosis