Open AccessCongenital duodenal atresia associated with intrauterine intestinal volvulus and meconium peritonitis: A case report
Author(s) -
Svetlana Bukarica,
Jelena Antić,
N Zakula,
Ivana Lukić,
Marina Milenković
Publication year - 2021
Publication title -
medicinski pregled
Language(s) - English
Resource type - Journals
eISSN - 1820-7383
pISSN - 0025-8105
DOI - 10.2298/mpns2106191b
Subject(s) - medicine , meconium peritonitis , intestinal atresia , duodenal atresia , volvulus , intestinal malrotation , meconium ileus , peritonitis , enteral administration , low birth weight , anastomosis , surgery , gastroenterology , meconium , sepsis , atresia , parenteral nutrition , pregnancy , fetus , genetics , biology
. Duodenal atresia is one of the most common small bowel anomalies usually diagnosed in utero. We present a case of a newborn with duodenal atresia associated with intestinal volvulus and meconium peritonitis. Case Report. A premature newborn with a birth weight of 1970 g was admitted due to radiological signs of duodenal atresia. Intraoperatively, in addition to duodenal atresia, we found that almost all intestinal loops were adherent to each other and to the liver in the form of conglomerates, as a consequence of intestinal (jejunal) volvulus and meconium peritonitis. A minimal intestinal resection was performed with creation of duodeno-jejunal anastomosis. The postoperative course was prolonged due to serious complications including cardiac tamponade and sepsis. After 77 days, with full enteral feeding, spontaneous bowel movement, and after appropriate weight gain, the child was discharged from the clinic. Conclusion. Treating congenital anomalies of the newborn is a challenge, even for an experienced surgeon, especially when associated with premature birth and low birth-weight. Despite adequate surgical techniques and intensive treatment, complex congenital anomalies are associated with high morbidity and mortality rates.