Abstract
Duodenal diaphragm is an unusual cause of upper intestinal obstruction. We present here a neonate with duodenal diaphragm who presented with features of metabolic alkalosis. Further, an algorithm of management of metabolic alkalosis in a newborn is suggested.
Highlights
Duodenal diaphragm (DD) is an unusual cause of incomplete high intestinal obstruction
The diagnosis of high intestinal obstruction is generally made on plain abdominal X-ray; confirmation may require barium examination
We report DD in a neonate who presented with metabolic alkalosis (MA) that is undoubtedly a rare presentation
Summary
Duodenal diaphragm (DD) is an unusual cause of incomplete high intestinal obstruction. The diagnosis of high intestinal obstruction is generally made on plain abdominal X-ray; confirmation may require barium examination. Diagnosis and surgical treatment are required to avoid any significant morbidity. A 14-day-old female, born at 40 weeks’ gestation with a birth weight of 2.97 Kg, referred from another hospital to us with persistent bile-stained vomiting and metabolic imbalance.
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