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Congenital duodenal obstruction with situs inversus totalis: Report of a rare association and discussion

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Author(s): Sharma Satendra | Rashid Kumar | Dube Ravi | Malik G | Tandon R

Journal: Journal of Indian Association of Pediatric Surgeons
ISSN 0971-9261

Volume: 13;
Issue: 2;
Start page: 77;
Date: 2008;
Original page

Keywords: Babygram | congenital duodenal obstructions | reverse double bubble | situs inversus

ABSTRACT
This report is to present and discuss an extremely rare association of situs inversus with duodenal atresia in an 11-day-old male neonate born full term and weighing 1.9 kg. The baby presented with recurrent bilious vomiting. Babygram revealed situs inversus and duodenal obstruction. Echocardiography showed dextrocardia with a small ASD. Exploration confirmed a duodenal diaphragm with a central perforation between the third and fourth part of the duodenum and situs inversus. The literature search revealed 20 cases reported so far.
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