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A newborn patient with both annular pancreas and Meckel's diverticulum: A case report of an unusual association.

Abstract Annular pancreas (AP) is recognized as a cause of duodenal obstruction in children, while children with Meckel's diverticulum (MD) are usually asymptomatic. Here we present a rare case with both AP and MD, which was identified by abdominal exploration during diamond-shaped duodenoduodenostomy.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start



 

PMID- 29703052
OWN - NLM
STAT- MEDLINE
DCOM- 20180507
LR  - 20180516
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 17
DP  - 2018 Apr
TI  - A newborn patient with both annular pancreas and Meckel's diverticulum: A case
      report of an unusual association.
PG  - e0583
LID - 10.1097/MD.0000000000010583 [doi]
AB  - RATIONALE: Annular pancreas (AP) is recognized as a cause of duodenal obstruction
      in children, while children with Meckel's diverticulum (MD) are usually
      asymptomatic. Here we present a rare case with both AP and MD, which was
      identified by abdominal exploration during diamond-shaped duodenoduodenostomy.
      PATIENT CONCERNS: A "double-bubble" sign was found by ultrasound at 35 week of
      pregnancy. After 39 weeks of pregnancy, the male patient was transferred to the
      Department of General Surgery, Children's Hospital of Soochow University because 
      of a suspected duodenal stenosis. DIAGNOSES: Preoperative abdominal X-ray
      examination indicated "double-bubble" sign. AP was confirmed by exploratory
      surgery, with an MD located 30 cm above the ileocecal valve. INTERVENTIONS:
      Diamond-shaped duodenoduodenostomy and a wedge resection of the intestine with
      end-to-end anastomosis were performed OUTCOMES:: The patient recovered and his
      appetite was good without vomiting. LESSONS: Our experience demonstrates that
      abdominal exploration is essential for children with gastrointestinal
      malformations.
FAU - Cai, Peng
AU  - Cai P
AD  - Department of Pediatric Surgery, Children's Hospital of Soochow University,
      Suzhou, China.
FAU - Zhu, Zhenwei
AU  - Zhu Z
FAU - Chen, Jianlei
AU  - Chen J
FAU - Chen, Lulu
AU  - Chen L
FAU - Pan, Jiang
AU  - Pan J
FAU - Zhi, Wenxian
AU  - Zhi W
FAU - Zhu, Jie
AU  - Zhu J
FAU - Wu, Bin
AU  - Wu B
FAU - Gu, Zhicheng
AU  - Gu Z
FAU - Huang, Shungen
AU  - Huang S
FAU - Wang, Jian
AU  - Wang J
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
RN  - Annular pancreas
SB  - AIM
SB  - IM
MH  - Anastomosis, Surgical/methods
MH  - Diverticulitis/congenital/*surgery
MH  - Duodenostomy/*methods
MH  - Humans
MH  - Infant, Newborn
MH  - Male
MH  - Meckel Diverticulum/complications/*surgery
MH  - Pancreas/*abnormalities/surgery
MH  - Pancreatic Diseases/congenital/*surgery
PMC - PMC5944541
EDAT- 2018/04/29 06:00
MHDA- 2018/05/08 06:00
CRDT- 2018/04/29 06:00
PHST- 2018/04/29 06:00 [entrez]
PHST- 2018/04/29 06:00 [pubmed]
PHST- 2018/05/08 06:00 [medline]
AID - 10.1097/MD.0000000000010583 [doi]
AID - 00005792-201804270-00084 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 Apr;97(17):e0583. doi: 10.1097/MD.0000000000010583.