Abstract
Background: Duodenal atresia (DA) is often associated with anomalies that include annular pancreas, cardiac anomalies, intestinal malrotation, situs inversus, or splenic anomalies. Association of duodenal atresia with complex cardiac anomalies is scarcely reported in the literature. Case Presentation: A term neonate was diagnosed with duodenal atresia and found to have a preduodenal portal vein and malrotation. A gastro jejunostomy was added to the procedure, due to the pre duodenal portal vein. On post-operative day 4, the patient had sudden desaturation. The respiratory system was normal and there was no evidence of septicaemia. On the post-operative echocardiogram, the diagnosis of hypoplastic left heart was made and the patient eventually succumbed to his complex cardiac disease. Conclusion: This is a rare combination of multiple anomalies and we report the clinical and anatomical findings of this patient.
Highlights
Duodenal atresia (DA) is the commonest cause of congenital duodenal obstruction
DA is often associated with anomalies that include annular pancreas, cardiac anomalies, intestinal malrotation, situs in versus or splenic anomalies.[1]
Child passed stool on post-operative day (POD)-3, and feeds were initiated the same day via trans-anastomotic naso-jejunal tube
Summary
Duodenal atresia (DA) is the commonest cause of congenital duodenal obstruction. DA is often associated with anomalies that include annular pancreas, cardiac anomalies, intestinal malrotation, situs in versus or splenic anomalies.[1]. Conclusion: This is a rare combination of multiple anomalies and we report the clinical and anatomical findings of this patient. DA is often associated with anomalies that include annular pancreas, cardiac anomalies, intestinal malrotation, situs in versus or splenic anomalies.[1] Preduodenal portal vein(PDPV) is not an uncommon finding in such patients.[2] Association of duodenal atresia with multiple anomalies, especially complex cardiac anomalies, has been scarcely reported in literature.
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