ISSN:
1437-9813
Keywords:
Key words Gastric pneumatosis
;
Preduodenal portal vein
;
Duodenal obstruction
;
Neonate
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract An 8-day-old newborn presented with non-bilious vomiting, upper abdominal fullness, and failure to pass meconium. Plain radiographs revealed gastric pneumatosis (GP). At operation, he was found to have a non-obstructive preduodenal portal vein, preampullary duodenal atresia, asplenia, and malrotation. The baby was treated by duodeno-duodenostomy without mobilizing the portal vein and correction of the malrotation according to Ladd's procedure. He made an uneventful recovery and the GP resolved spontaneously. The malformative process was believed to have occurred at or soon after the 5th week of gestation, and the GP probably resulted from intramural air tracking through mucosal tears caused by high intragastric pressure.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/s003830050450
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