Laparoscopic treatment of duodenal atresia associated with situs inversus abdominis in a newborn



Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Introduction. A combination of congenital duodenal obstruction (CDO) and situs inversus abdominis (SIA) is an extremely rare case. The present article describes a laparoscopic technique applied for the care in such patient.
Case presentation. A newborn girl was admitted to the hospital on the 4th day of her life with regular bile vomiting and weight loss. Examination revealed CDO combined with SIA. After preoperative preparation and condition stabilization, the child was operated on and Kimura duodenoduodenoanastomosis was put. After the performed treatment, duodenal patency was restored. The patient was discharged home in a satisfactory state. She had complete enteral feeding with a good dynamics of weight gain.
Conclusion. The described case demonstrates the effectiveness of laparoscopic approach in patients with CDO and SIA hospitalized in a regional children`s hospital.

About the authors

R. L. Shcherbinin

Voronezh Regional Children’s Clinical Hospital No 1

Author for correspondence.
Email: neonatalsurgery@inbox.ru
ORCID iD: 0000-0002-1395-9435

Roman L. Shcherbinin, head of neonatal surgery unit 

Voronezh, 394024

Россия

S. V. Dobrodomova

Voronezh Regional Children’s Clinical Hospital No 1

Email: fake@neicon.ru
ORCID iD: 0000-0001-8973-266X

Voronezh, 394024

Россия

V. A. Vecherkin

Voronezh State Medical University named after N.N. Burdenko

Email: fake@neicon.ru
ORCID iD: 0000-0002-6024-6585

Voronezh, 394036

Россия

D. O. Khoroshilov

Voronezh Regional Children’s Clinical Hospital No 1

Email: fake@neicon.ru
ORCID iD: 0000-0001-8140-9358

Voronezh, 394024

Россия

N. V. Bocharova

Voronezh Regional Children’s Clinical Hospital No 1

Email: fake@neicon.ru

Voronezh, 394024

Россия

S. I. Drozdov

Voronezh Regional Children’s Clinical Hospital No 1

Email: fake@neicon.ru
ORCID iD: 0000-0002-6209-6058

Voronezh, 394024

Россия

Yu. V. Kryukov

Voronezh Regional Children’s Clinical Hospital No 1

Email: fake@neicon.ru

Voronezh, 394024

Россия

References

  1. AlKhlaiwy O., AlMuhsin A.M., Zakarneh E., et al. Laparoscopic cholecystectomy in situs inversus totalis: case report with review of techniques. Int J Surg Case Rep. 2019; 59: 208–12.
  2. Nawaz A., Matta H., Hamchou M., et al. Situs inversus abdominus in association with congenital duodenal obstruction: a report of two cases and review of the literature. Pediatr Surg Int. 2005; 21: 589–92.
  3. Qiang S., Fan M., Cui Q., Li Z., Zhou Y., Li Q., Li F. Management of duodenal atresia associated with situs inversus abdominus: a case report. Medicine. 2020; 99: 31.
  4. Rahul Gupta, Varsha Soni, Prakash Devidas Valse, Ram Babu Goyal, Arun Kumar Gupta, Praveen Mathur Neonatal intestinal obstruction associated with situs inversus totalis: two case reports and a review of the literature. J Med Case Rep. 2017; 11: 264.
  5. Козлов Ю.А., Новожилов В.А., Распутин А.А., Сыркин Н.В., Подкаменев А.В., Юрков П.С., Соловьев А.А., Вебер И.Н., Кононенко М.И. Лапароскопическая дуоденодуоденостомия в лечении врождённой дуоденальной непроходимости – первоначальный опыт. Детская хирургия. 2012; 5: 34–7. Kozlov Yu.A., Novozhilov V.A., Rasputin A.A., Syrkin N.V., Podkamenev A.V., Yurkov P.S., Soloviev A.A., Weber I.N., Kononenko M.I. Laparoscopic duodenoduodenostomy in the management of congenital duodenal obstruction – first experience. Detskaya Khirurgiya. 2012; 5: 34–7. (In Russian)
  6. Козлов Ю.А., Новожилов В.А., Тысячный А.С., Кононенко М.И., Кузнецова Н.Н. Сравнительный анализ использования лапаротомии и лапароскопии в лечении дуоденальной атрезии. Анналы хирургии. 2013; 4: 26–34. Kozlov Yu.A., Novozhilov V.A., Tysyachnyy A.S., Kononenko M.I., Kuznetsova N.N. Comparative analysis of the laparotomy and laparoscopy in the treatment of duodenal atresia. Annaly Khirurgii. 2013; 4: 26–34. (In Russian)
  7. Choudhry M.S., Rahman N., Boyd P., et al. Duodenal atresia: associated anomalies, prenatal diagnosis and outcome. Pediatr Surg Int. 2009; 25: 727–30.
  8. Bishop J.C., McCormick B., Johnson C.T., et al. The double bubble sign: duodenal atresia and associated genetic etiologies. Fetal Diagn Ther 2020; 47: 98–103.
  9. Van der Zee D.C. Laparoscopic repair of duodenal atresia: revisited. World J Surg. 2011; 35: 1781–4.
  10. Adams S.D., Stanton M.P. Malrotation and intestinal atresias. Early Hum Dev. 2014; 90: 921–5.
  11. Gharpure V. Duodenal atresia. J Neonatal Surg. 2014; 3: 14.
  12. Jones M.L.M., Sarila G., Chapuis P., et al. The role of fibroblast growth factor 10 signaling in duodenal atresia. Front Pharmacol. 2020; 11: 250.
  13. Brantberg A., Blaas H.G., Salvesen K.A., et al. Fetal duodenal obstructions: increased risk of prenatal sudden death. Ultrasound Obstet Gynecol. 2002; 20: 439–46.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c)

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies