2010, Number 3
Acta Pediatr Mex 2010; 31 (3)
Sánchez-Nava J, Jiménez-Urueta PS, Mejía-Sánchez MR, Sánchez-Torres R, Sánchez-Michaca VJ, Aguilar-Aguirre JM
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ABSTRACTIntroduction. Intestinal atresia is the main cause of digestive tract obstruction in newborns. Duodenal atresia occurs in less than 5% of live newborns. Diagnosis may be difficult and in most cases is done in late stages. We present the case of a premature very low weight newborn in whom duodenal atresia was suspected with a thoracoabdominal X ray. The patient was operated successfully.
Discussion. Double bubble X ray image with distal air should give the suspicion of duodenal atresia; treatment must be surgical because of the low weight of these children. Morbidity and mortality decreases with adequate intensive care.