Peculiar type 1 congenital pyloric atresia: a case report.
Pyloric atresia (PA) is a very rare condition. Its incidence is approximately 1 in 100,000 newborns and constitutes about 1% of all intestinal atresias. We describe the neonatal course of a peculiar case of type 1 pyloric atresia, in which the pyloric membrane was connected to a second duodenal membrane through a virtual duodenal lumen in a premature newborn. The atypical variant required an unusual side to side gastroduodenostomy. We emphasize the importance of a prompt diagnosis to avoid potentially fatal complications and to warrant a good outcome even in the presence of a strange form of PA in the neonatal period.
Zecca
Enrico
E
Department of Pediatrics, Institute of Pediatrics, Division of Neonatology, Catholic University of the Sacred Heart, Rome, Italy. enrizecca@rm.unicatt.it
Corsello
Mirta
M
Pintus
Claudio
C
Nanni
Lorenzo
L
Zecca
Susanna
S
D000714:Anastomosis, Surgical; D003937:Diagnosis, Differential; D004386:Duodenum / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D007409:Intestinal Atresia / Q000175:diagnosis* / Q000601:surgery; D007813:Laparotomy; D011708:Pylorus / Q000002:abnormalities* / Q000601:surgery; D011860:Radiography, Abdominal