Pyloric obstruction, duodenal dilatation, and extrahepatic cholestasis: a neonatal triad suggesting multiple intestinal atresias.
Whereas physiologic jaundice constitutes a common finding in neonates, a few cases present with cholestatic jaundice owing to various pathologic conditions, including extrahepatic biliary obstruction. We report the case of a 2-day-old female neonate presenting with neonatal cholestasis, nonbilious vomiting with pyloric obstruction, and multiple intestinal atresias. A pathognomonic clinicoradiologic triad is described, based on clinical data, plain abdominal x-ray, and ultrasound examination.
Darwish
Ahmed A
AA
Pediatric Surgery Unit, Saint-Luc University Clinics, Université catholique de Louvain, B-1200 Brussels, Belgium.
Debauche
Christian
C
Clapuyt
Philippe
P
Feruzi
Zephyrin
Z
de Ville de Goyet
Jean
J
Reding
Raymond
R
D001651:Cholestasis, Extrahepatic / Q000175:diagnosis / Q000209:etiology*; D003937:Diagnosis, Differential; D004108:Dilatation, Pathologic; D004386:Duodenum / Q000503:physiopathology*; D005260:Female; D017219:Gastric Outlet Obstruction / Q000209:etiology*; D006801:Humans; D007231:Infant, Newborn; D007409:Intestinal Atresia / Q000150:complications* / Q000000981:diagnostic imaging / Q000503:physiopathology*; D011708:Pylorus; D011860:Radiography, Abdominal; D014463:Ultrasonography