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PubMed2002

Atresias of the gastrointestinal tract in an inbred, previously unstudied population.

Retrospective analysis of the records of newborns with gastrointestinal (GI) atresias in a 16-year period revealed that more than 25% of patients had genetically-influenced atresias. Among these, an appreciable increase was observed in atresias confined to the antral region and in a syndrome of hereditary multiple GI atresias. In the absence of environmental and teratogenic factors, this increase could be due to the traditional social practice of endogamy in this population. However, this clinical finding remains to be supported by relevant prospective genetic studies.

Consanguinity↗
PubMed1994

Duodenal atresia: its occurrence in siblings.

The authors describe a case of duodenal atresia occurring in two siblings. It is possible that the third sibling also died after complications of the same malformation. This familial occurrence may support the hypothesis that this anomaly is determined by an autosomal-recessive gene.

Duodenal Obstruction↗
PubMedDate not supplied

Characteristic findings for diagnosis of baby complicated with both the VACTERL association and duodenal atresia.

The VACTERL [vertebral defects (V), anal atresia (A), cardiac anomaly (C), tracheal-esophageal fistula with esophageal atresia (TE), renal defects (R), and radial limb dysplasia (L)] association can sometimes be diagnosed by ultrasonography and magnetic resonance imaging (MRI). Although the preaxial limb anomalies on ultrasonography were strongly associated with VACTERL association, the rate of limb anomalies is low. On ultrasonography, useful findings for prenatal diagnosis are a combination of esophageal atresia with hydramnion and renal anomalies. If esophageal atresia cannot be detected due to masking, diagnosis may be very difficult. In this case report, we reported the VACTERL association along with duodenal atresia. The detection of characteristic findings (enlarged stomach and duodenum, possibly change in gallbladder) by use of ultrasonography and MRI might be useful for the prenatal diagnosis of such cases.

Abnormalities, Multiple↗
PubMed1990

[Duodenal atresia. Experiences with 145 patients].

145 children with duodenal atresia were operated on between 1971 and 1988. 57 were premature, 48 newborn, 11 toddlers and 5 older children. Once the immediate perioperative phase is overcome, the postoperative prognosis is determined only by the severity of associated anomalies. Most atresias were found to be located prepapillary. Trisomy 21, malrotations and vitium cordis were the most frequent associated anomalies. Relaparotomies were required in 21%, mostly because of adhesions.

Abnormalities, Multiple↗
PubMed1992

Incidence of atresia coli and relationships among the affected calves born in one herd of Holstein cattle.

Eighteen cases of atresia coli were observed in the University of Illinois Holstein herd from 1974 through August 1983 in 2367 births. The overall incidence of the abnormality was .76% during this period. All of the affected calves were related to one another, and 15 of them were inbred. More calves were born with atresia coli from dams in which pregnancy was diagnosed prior to d 41 of gestation than from dams in which pregnancy was diagnosed later. Early pregnancy diagnosis in dams may contribute, but was not essential, to atresia coli in Holstein calves. Thirteen of the affected calves were males. The proportion of calves aborted or born dead among the affected calves was greater than expected from the incidence of aborted or born dead among contemporary calves.

Animals↗
PubMed1986

High jejunal atresia with midgut deletion.

A case of high jejunal atresia with midgut deletion in the newborn is reported. The remnant of proximal jejunum near the ligament of Treitz shared a common supporting mesentery/mesocolon with the remaining midtransverse colon. The patient was managed by side-to-side anastomosis of the jejunal and transverse colonic remnants.

Colon↗
PubMed2003

Jejunal atresia related to the use of toluidine blue in genetic amniocentesis in twins.

Since 1990 avoidance of methylene blue as a dye in diagnostic amniocentesis is recommended. This is the result of the observation that a high incidence of jejuno-ileal atresia appeared in twin pregnancies following intraamniotic injection of methylene blue. We report a case of jejunal atresia in twins after injection of toluidine blue. We describe the clinical course, discuss possible teratogenic mechanisms and emphasize that no synthetic dyes should be used in second trimester amniocentesis.

Adult↗
PubMed1989

The duodenum. Part 3: Pathology.

Duodenal pathology includes various developmental malformations and acquired lesions. This report provides brief descriptions of various congenital anomalies of the duodenum, including stenosis and atresia, annular pancreas and ectopic duodenal pancreatic tissue, megaduodenum, duodenal diverticula, preduodenal portal vein, and paraduodenal fossae. Acquired lesions, such as duodenal ulcer, tumors, vascular compression, and duodenal trauma are also described.

Duodenal Diseases↗
PubMed1991

Multiple gastrointestinal atresias: sonography of associated biliary abnormalities.

The pre-operative finding of biliary ductal dilatation in the setting of multiple gastrointestinal atresias has not been previously reported. This paper illustrates the sonographic findings in two neonates with multiple gastrointestinal atresias from the prepyloric region to the rectum. Biliary ductal dilatation was seen in both patients and highly echogenic, mobile intraluminal bowel debris secondary to calcified meconium was evident in one. Post-operative biliary gas was demonstrated on sonography in one case.

Bile Duct Diseases↗
PubMed1999

Multiple organ malrotation syndrome with duodenal atresia: a case report.

Duodenal atresia (DA) can be associated with multiple anomalies. Multiple organ malrotation syndrome (MOMS) involves laevoversion of the liver and gall bladder and dextroversion of the stomach and spleen. We report a case of MOMS with DA. Embryologic aspects, investigation, and treatment are discussed.

Duodenal Obstruction↗
PubMedDate not supplied

[5 cases of neonatal duodenal obstruction].

The authors report five cases of intrinsic duodenal obstruction in neonates, operated upon since 1976 to 1982. In 3 cases, it's a question of atresia and in two cases of annular pancreas. The associated lesions are in one case, a macrocephaly, in a second case, a microcephaly with ocular lesions and in a third case a jejunal atresia. The operating procedure consists four times in a duodeno-jejunostomy and one time in a duodeno-duodenostomy. A complementary jejunal resection with end-to-end anastomosis is necessary in the case of associated jejunal atresia. A discharge gastrostomy is performed once only. The post operative feeding is exclusively parenteral. A cholostatic jaundice appears in two cases but run its course favourably. The postoperative course is simple. There is no death. The five cases evolue normally at long term.

Abnormalities, Multiple↗
PubMed1976

Colonic atresia associated with Hirschsprung's disease.

A rare case of an infant with both atresia of the colon and Hirschsprung's disease is described. The diagnosis of Hirschsprung's disease was fortuitously made on histological examination of the resected colon. The importance of being aware of the possibility that these two conditions may coexist is stressed.

Adolescent↗
PubMed1976

Descriptive epidemiology of small-bowel atresia in metropolitan Atlanta.

The epidemiological characteristics are presented of 46 children with small-bowel atresia, ascertained over a 6-year period by an active, population-based birth defect surveillance program in Atlanta, Georgia. The malformation occurred at a rate of 2.7/10,000 livebirths. The previously reported association of duodenal atresia and Down syndrome was confirmed was confirmed. No instances of familial association were noted, nor was any excessive prenatal exposure to drugs found. Thirty-two instances of isolated small-bowel atresia were analyzed in detail. The frequency of the isolated defect for blacks was twice that for whites because of a higher rate for black females. The isolated defect was commonest in the winter months. The relation between isolated small-bowel atresia, birth weight, and mortality was discussed. This small series cannot readily be subdivided into distinct epidemiological groups on the basis of the location of the atretic lesions along the length of the small bowel.

Black People↗
PubMed2005

Ileal atresia and thrombo-embolic liver calcifications diagnosed after treatment with intrauterine laser coagulation therapy for twin-to-twin transfusion syndrome: report of 2 cases.

Ileal atresia is considered to be an acquired anomaly. It is thought to be caused by a mesenteric vascular accident during fetal life which leads to necrosis of downstream tissues. We present a case in which ileal atresia occurred after intrauterine laser coagulation therapy for a twin-to-twin transfusion syndrome. The laser treatment might have been the etiological factor of the atresia. A second case in which thrombo-embolic calcifications were found in the liver is presented as well.

Adult↗
PubMedDate not supplied

Epidermolysis bullosa associated with congenital localized absence of skin, fetal abdominal mass, and pyloric atresia.

A 2320-g male infant was delivered at 35 weeks gestation to a mother who had polyhydramnios. He had a combination of congenital localized absence of skin, unilateral hydronephrosis, and hydroureter due to ureterovesical obstruction, and nonbilious vomiting due to pyloric atresia. Blistering of the skin developed after birth. Epidermolysis bullosa simplex was confirmed by electron microscopy of a skin biopsy specimen. We describe this patient, who had three unusual manifestations of epidermolysis bullosa.

Abnormalities, Multiple↗