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Situs inversus abdominus in association with congenital duodenal obstruction: a report of two cases and review of the literature
Authors:Akhtar Nawaz  Hilal Matta  Mustafa Hamchou  Alic Jacobez  Omar Trad  Ahmed H. Al Salem
Affiliation:(1) Division of Pediatric Surgery, Department of Surgery, Tawam Hospital, Al Ain, Abu Dhabi, United Arab Emirates;(2) Division of Pediatric Surgery, Department of Pediatrics, Tawam Hospital, Al Ain, Abu Dhabi, United Arab Emirates;(3) Present address: P.O. Box 61015, Qatif, 31911, Saudi Arabia
Abstract:This report describes two newborns with persistent bile-stained vomiting. Their radiological investigations revealed the existence of situs inversus and duodenal obstruction. In one, the duodenal obstruction was partial, secondary to a duodenal diaphragm with a central aperture, whereas the other child had complete duodenal atresia as well as Fallot’s tetralogy. Such an association is extremely rare, with only 18 cases reported so far in the literature. Embryological aspects, investigations, and treatment are also discussed.
Keywords:Duodenal atresia  Situs inversus  Congenital heart disease
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