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    Go to the top of the page   ID: 20050923114058 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    | The Authors | Discussion | Write a Comment to this Case |
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    Congenital internal Duodenal Stenosis
    Dirk Schaper, C Hess. Congenital internal Duodenal Stenosis. PedRad [serial online] vol 5, no. 9.
    URL: www.PedRad.info/?search=20050923114058


     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] There are Ultrasound-images available for this case. [ Ultrasound ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    Dirk Schaper, C. Hess (Klinik für Kinderchirurgie und Klinik für Pädiatrie des Krankenhaus St. Elisabeth und St. Barbara Halle/S.)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    1 Newborn  

     
     Pediatric Radiology CasesGender:

    Female  

     
     Pediatric Radiology CasesRegion-Organ:

    GI-Duodenum  

     
     Pediatric Radiology CasesMost likely etiology:

    congenital  

     
     Pediatric Radiology CasesHistory:

    In the prenatal ultrasound, there is evidence of foreshortened extremities (history of hip dysplasia/chondrodystrophy in the family). Prenatal ultrasound with dilated stomach, double-bubble phenonemon, oligohydramnios. Spontaneous delivery in the 37th week of pregnancy in cephalic presentation. Postnatally unremarkable adaptation. Further diagnostics.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    Internal stenoses arise more often through growth retardation than through vascular or obliterating infections. Beside membrane-like barriers, tubular strictures have been also described.  

     
     Pediatric Radiology CasesRadiological findings:


    X-Ray 1 <- view X-Ray 1

    X-Ray 1: Abdominal overview, hanging. Large stomach bubble in the left upper quadrant, duodenal bubble to the right of the spine, little air in the rest of the abdomen.






    X-Ray 2 <- view X-Ray 2

    X-Ray 2: UGI: Contrast media column with abrupt stop at the transition to the pars horizontalis.






    Ultrasound 1 <- view Ultrasound 1

    Ultrasound 1: Hypoechoic structure with internal floating echos seen in the subhepatic region on the transverse abdominal view.





    Ultrasound 2 <- view Ultrasound 2

    Ultrasound 2: Obliterating peristaltic waves traveling from the left to right.





    Ultrasound 3 <- view Ultrasound 3

    Ultrasound 3: Fluid-filled stomach, dilated pylorus, fluid-filled duodenum.


     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Surgery / Histo  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    Duodenal atresia, Ladd syndrome, annular pancreas  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    Postnatal confirmation of the diagnosis by ultrasound and x-ray. Planned surgical repair using a duodeno-duodenostomy. Intraoperatively, a tubular stenosis was seen, which had a pinpoint sized lumen. A post-stenotic dilation was not seen. A probe could be passed through the lumen. Postoperative pain management with a peridural catheter. Quick oral nutrition through the feeding tube. The tube was removed on the 11th postoperative day and enteral nutrition was unproblematic.  

     
     Pediatric Radiology CasesComments of the author about the case:

    N/A  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    1. Medline: Medline
    Jürgen Waldschmidt
    Das akute Abdomen im Kindesalter
    Ed.Medizin, VCH, 1990

    2. Medline: Medline
    Waldschmidt,J., Charissis, G., Berlien, P., Grasemann, S.
    Das Megaduodenum im Neugeborenenalter
    Z Kinderchir 30:197-208  

     
     Pediatric Radiology CasesKeywords:

    Duodenum, internal, duodenal, stenosis, congenital, duodenal stenosis, internal duodenal stenosis, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    Dirk Schaper, C Hess. Congenital internal Duodenal Stenosis. PedRad [serial online] vol 5, no. 9.
    URL: www.PedRad.info/?search=20050923114058  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: GI-Duodenum
    or in the region: GI
    or in the tissue/organ: Duodenum
    or with the etiology: congenital
     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] There are Ultrasound-images available for this case. [ Ultrasound ] View all modalities [ All ]   
     
    Congenital internal Duodenal Stenosis
    Dirk Schaper, C Hess. Congenital internal Duodenal Stenosis. PedRad [serial online] vol 5, no. 9.
    URL: www.PedRad.info/?search=20050923114058


     

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    Congenital internal Duodenal Stenosis
    Other cases by these authors:

    Search Dirk Schaper in Medline Dirk Schaper (43)   
    Search C. Hess in Medline C. Hess (1)   

    Congenital internal Duodenal Stenosis  
     
    Congenital internal Duodenal Stenosis
    Dirk Schaper, C Hess. Congenital internal Duodenal Stenosis. PedRad [serial online] vol 5, no. 9.
    URL: www.PedRad.info/?search=20050923114058


     

    Which diagnosis have other collegues guessed?


    • pyloric hypertrophy
      Votes: 0 (0 %)


    • pancreas annulare
      Votes: 5 (38 %)


    • congenital internal duodenal stenosis
      Votes: 6 (46 %)


    • Ladd syndrome
      Votes: 2 (15 %)



        Total answers: 13

     
    Congenital internal Duodenal Stenosis
    Dirk Schaper, C Hess. Congenital internal Duodenal Stenosis. PedRad [serial online] vol 5, no. 9.
    URL: www.PedRad.info/?search=20050923114058


     

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    Congenital internal Duodenal Stenosis
    Dirk Schaper, C Hess. Congenital internal Duodenal Stenosis. PedRad [serial online] vol 5, no. 9.
    URL: www.PedRad.info/?search=20050923114058


     




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