Prenatally diagnosed congenital pyloric atresia in consecutive three siblings: a case report
| Autor: | Souji Ibuka, Toshimichi Hasegawa, Ryuta Saka, Tasuku Kodama, Dan Yamamoto, Seika Kuroda |
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| Rok vydání: | 2021 |
| Předmět: |
Polyhydramnios
Pediatrics medicine.medical_specialty Congenital pyloric atresia Fetal ultrasonography medicine.medical_treatment lcsh:Surgery Prenatal diagnosis Case Report Consanguinity Pyloromyotomy 030218 nuclear medicine & medical imaging Gastroduodenostomy 03 medical and health sciences Familial 0302 clinical medicine 030225 pediatrics medicine heterocyclic compounds business.industry lcsh:RD1-811 medicine.disease cardiovascular system Epidermolysis bullosa business |
| Zdroj: | Surgical Case Reports Surgical Case Reports, Vol 7, Iss 1, Pp 1-5 (2021) |
| ISSN: | 2198-7793 |
| Popis: | Background Congenital pyloric atresia (CPA) is a rare gastrointestinal anomaly frequently associated with epidermolysis bullosa (EB). Although the complications of familial isolated CPA are minor, delays in diagnosis can increase the chances of morbidity. Case presentation Three female infants born to a Japanese mother presented with CPA at birth. There was no consanguinity between the parents, and the spacing between pregnancies was 2 years in each case. All 3 siblings had a prenatal diagnosis of CPA owing to polyhydramnios and a dilated stomach, without dilatation of the rest of the gastrointestinal tract. All patients underwent reconstructive surgeries for establishing bowel continuity (Case 1, pyloromyotomy; Case 2, gastroduodenostomy in a diamond fashion; and Case 3, gastroduodenostomy in a side-to-side fashion) soon after birth. Their postoperative courses were uneventful, and they grew up healthily, without any complications. Conclusion Fetal ultrasonography is useful for diagnosing CPA prenatally. Successful prenatal diagnosis can lead to timely intervention after birth. |
| Databáze: | OpenAIRE |
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