Akcora Bulent, Eris Ozge
Department of Pediatric Surgery, Mustafa Kemal University, Hatay, Turkey.
Afr J Paediatr Surg. 2010 Jan-Apr;7(1):33-5. doi: 10.4103/0189-6725.59359.
Congenital duodenal atresia complicated by gastric perforation (GP) is a very rare and a very mortal condition. Only three newborns could be cured in the reported 13 cases. We report a successfully treated newborn with this complicated disease. A 2-day-old male was hospitalized with prediagnosis of duodenal obstruction. Twelve hours later, significant abdominal distention occurred promptly. At laparotomy, GP and preampullary duodenal atresia were detected. Gastrorrhaphy and duodenoduodenostomy were performed in the same operation. The patient was discharged on the 15th postoperative day. This complicated disease can be treated by early diagnosis and surgical intervention. We choose one-stage operation because of the clean peritoneal cavity. However, generalized peritonitis may require two-stage operation in delayed cases.
先天性十二指肠闭锁合并胃穿孔是一种非常罕见且死亡率很高的疾病。在已报道的13例病例中，仅有3例新生儿得以治愈。我们报告1例成功治愈的患有这种复杂疾病的新生儿。一名2日龄男婴因十二指肠梗阻初步诊断入院。12小时后，迅速出现明显腹胀。剖腹探查时，发现胃穿孔和壶腹前十二指肠闭锁。在同一手术中进行了胃修补术和十二指肠十二指肠吻合术。患者术后第15天出院。这种复杂疾病可通过早期诊断和手术干预进行治疗。由于腹腔清洁，我们选择一期手术。然而，对于延误病例，弥漫性腹膜炎可能需要二期手术。
