Öz
We present a newborn ;35th pregnancy week, twin pair, 2350 g girl with duodenal obstruction whom diagnosed with annular pancreas and duodenal stenosis in association with nonrotation. Side to side duodenoduodenostomy to bypass annular pancreas, diamond shaped duodenojejunostomy for duodenal stenosis and an appendectomy for nonrotation were performed. Postoperative period was uneventful and 16 months follow up revealed any late complication. To our knowledge, a combination of duodenal stenosis and annular pancreas with nonrotation has not been presented previously.
Anahtar Kelimeler
annular pancreas duodenal stenosis malrotation double duodenal obstruction
Kaynakça
- Papandreou E, Baltogiannis N, Cigliano B, Savanelli A, Settimi A, Keramidas D. Annular pancreas combined with distal stenosis. A report of four cases and review of the literature. Pediatr Med Chir 2004; 26:256-9.
- Mauricio A. Escobar, Alan P. Ladd, Jay L. Grosfeld, Karen W. West, Frederick J. Rescorla, L.R. Scherer III ,Scott A. Engum, Thomas M. Rouse, and Deborah F. Billmire . Duodenal Atresia and Stenosis: Long-Term Follow-Up Over 30 Years. J Ped Surg 2004; 39: 867-71.
- Spigland N, Yazbeck S. Complications associated with surgical treatment of congenital intrinsic duodenal obstruction. J Pediatr Surg 1990; 25:1127-30.
- Atsushi Takahashi, Takeshi Tomomasa, Norio Suzuki, Minoru Kuroiwa, Hitoshi Ikeda, Akihiro Morikawa, Shiro Matsuyama, and Yoshiaki Tsuchida. The Relationship Between Disturbed Transit and Dilated Bowel, and Manometric Findings of Dilated Bowel in Patients With Duodenal Atresia and Stenosis. J Ped Surg 1997;32:1157-60.
- Qinming Zhang, Yongwei Chen, Dawei Hou and Weihong Guo. Analysis of Postoperative Reoperation for Congenital Duodenal Obstruction. Asian J Surg 2005; 28:38–42.
Öz
Bu çalışmada anuler pankreas ve duodenal stenoz ile birlikte nonrotasyon anomalisi gösteren 35 haftalık ikiz gebelikten doğan 2350g kız çocuğu sunulmuştur. Anuler pankreas için yan yana duodeno-duodenostomi, duodenal stenoz için de baklava tarzı duodeno-jejunostomi anastomozları uygulanmış ve apendiks inverte edilerek apendektomi yapılmıştır. Postoperatif dönem sorunsuz geçmiş ve 16 aylık takipte geç komplikasyon ortaya çıkmamıştır. Yaptığımız literatür taramasında, bir rotasyon anomalisi olan nonrotasyonla birlikte anuler pankreas ve duodenal stenoz kombinasyonu bildirilmemiştir.
Anahtar Kelimeler
anuler pankreas duodenal stenoz malrotasyon çift duodenal obstruksiyon
Kaynakça
- Papandreou E, Baltogiannis N, Cigliano B, Savanelli A, Settimi A, Keramidas D. Annular pancreas combined with distal stenosis. A report of four cases and review of the literature. Pediatr Med Chir 2004; 26:256-9.
- Mauricio A. Escobar, Alan P. Ladd, Jay L. Grosfeld, Karen W. West, Frederick J. Rescorla, L.R. Scherer III ,Scott A. Engum, Thomas M. Rouse, and Deborah F. Billmire . Duodenal Atresia and Stenosis: Long-Term Follow-Up Over 30 Years. J Ped Surg 2004; 39: 867-71.
- Spigland N, Yazbeck S. Complications associated with surgical treatment of congenital intrinsic duodenal obstruction. J Pediatr Surg 1990; 25:1127-30.
- Atsushi Takahashi, Takeshi Tomomasa, Norio Suzuki, Minoru Kuroiwa, Hitoshi Ikeda, Akihiro Morikawa, Shiro Matsuyama, and Yoshiaki Tsuchida. The Relationship Between Disturbed Transit and Dilated Bowel, and Manometric Findings of Dilated Bowel in Patients With Duodenal Atresia and Stenosis. J Ped Surg 1997;32:1157-60.
- Qinming Zhang, Yongwei Chen, Dawei Hou and Weihong Guo. Analysis of Postoperative Reoperation for Congenital Duodenal Obstruction. Asian J Surg 2005; 28:38–42.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Case Report |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Mart 2012 |
| Yayımlandığı Sayı | Yıl 2012Sayı: 1 |