Situs inversus abdominalis and duodenal atresia: A case report and review of the literature

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dc.contributor.authorBrown C.
dc.contributor.authorNumanoglu A.
dc.contributor.authorRode H.
dc.contributor.authorSidler D.
dc.date.accessioned2011-05-15T15:57:54Z
dc.date.available2011-05-15T15:57:54Z
dc.date.issued2009
dc.description.abstractFewer than 20 patients born with situs inversus and duodenal atresia have been reported in the literature. We present a patient with this condition. A newborn baby presented shortly after birth with persistent bilious vomiting. An abdominal radiograph showed a right-sided stomach bubble and a second bubble on the left - Typical of duodenal atresia but with mirror image configuration. Laparotomy confirmed the diagnosis of situs inversus abdominalis, which was also demonstrated by contrast studies and ultrasound. Duodeno-duodenostomy was performed and the patient discharged on day 8 postoperatively. Situs inversus is associated with other congenital malformations including splenic malformations, left-sided liver and cardiac abnormalities; it is rarely associated with duodenal atresia. Duodenal obstruction in the presence of situs inversus has been described, including obstruction due to a web, stenosis, pre-duodenal portal vein and complete atresia. The patient presented in this paper had a duodenal web in the second part of the duodenum. Before undertaking surgery it is important to establish the presence of associated gastrointestinal and cardiac abnormalities.
dc.description.versionArticle
dc.identifier.citationSouth African Journal of Surgery
dc.identifier.citation47
dc.identifier.citation4
dc.identifier.issn382361
dc.identifier.urihttp://hdl.handle.net/10019.1/10660
dc.subjectanastomosis
dc.subjectarticle
dc.subjectcase report
dc.subjectduodenum
dc.subjectduodenum obstruction
dc.subjectfemale
dc.subjecthuman
dc.subjectintestine atresia
dc.subjectlaparotomy
dc.subjectnewborn
dc.subjectradiography
dc.subjectsitus inversus
dc.subjecttotal parenteral nutrition
dc.subjectAnastomosis, Surgical
dc.subjectDuodenal Obstruction
dc.subjectDuodenum
dc.subjectFemale
dc.subjectHumans
dc.subjectInfant, Newborn
dc.subjectIntestinal Atresia
dc.subjectLaparotomy
dc.subjectParenteral Nutrition, Total
dc.subjectSitus Inversus
dc.titleSitus inversus abdominalis and duodenal atresia: A case report and review of the literature
dc.typeArticle
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