Document Detail

Anomalous biliary ducts associated with duodenal atresia.
MedLine Citation:
PMID:  2286903     Owner:  NLM     Status:  MEDLINE    
Duodenal atresia is rarely associated with anomalous biliary ducts that permit communication between the proximal and distal duodenal segments. Two such cases are presented herein and the literature is reviewed. Although the typical radiographic pattern of duodenal atresia is the "double bubble" sign with absence of distal bowel gas, air may be present in the distal bowel when anomalous bile ducts provide a conduit around the atretic segment. Contrast studies are generally not performed in the typical clinical and radiographic evaluation of duodenal atresia; however, an upper gastrointestinal series may be useful in defining the more complex anomaly. Clinical presentation may occur relatively late if the biliary communication is large enough to permit passage of some milk or formula. Care should be taken at surgery to avoid obstruction or injury to the anomalous bile ducts, and operative cholangiography may be useful to document continued bile duct patency following repair of the atresia. Theories of the etiology of this anomaly relate to interference with recanalization of the duodenum by the process of hepaticopancreatic duct formation and persistence of the primitive "dual duct" stage.
S J Knechtle; H C Filston
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  25     ISSN:  0022-3468     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  1990 Dec 
Date Detail:
Created Date:  1991-03-28     Completed Date:  1991-03-28     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1266-9     Citation Subset:  IM    
Department of Surgery, Duke University Medical Center, Durham, NC.
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MeSH Terms
Bile Ducts / abnormalities*
Duodenal Obstruction / congenital*,  surgery
Infant, Newborn
Intestinal Atresia / complications*,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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