Congenital duodenal obstruction due to duodenal web with annular pancreas: A rarity

Abstract

Congenital duodenal obstruction is one of the common causes of intestinal obstruction in neonates. They are usually due to duodenal atresia, malrotation of gut and annular pancreas. The combination of duodenal web with annular pancreas is very rare. We are presenting a case of congenital duodenal obstruction in a patient having both duodenal web and annular pancreas. A transverse incision on the duodenum was made and a duodenal web partially obstructing the lumen between its first and second part was confirmed. A longitudinal incision over the distal collapsed part of duodenum and Kimura's diamond-shaped duodeno-duodenostomy was done over a transgastric transanastomotic feeding jejunostomy. Baby did well postoperatively and was discharged in stable condition.