PRENATAL DIAGNOSIS AND SURGICAL MANAGEMENT OF DUODENUM
DUPLICATION - A CASE REPORT
Ye ZZ, Ma JD, Ma LS,
Zhang SL
Capital Institute of
Pediatrics, Beijing, China
Objective: To evaluate the prenatal diagnosis and
surgical Treatment in a newborn with duplication of duodenum.
Method: At the 25th week of gestation
right ovarian cyst was diagnosed by ultrasound in a fetus. Then the cyst
was followed up every 4 weeks until 2 days before and after birth. The girl
was born at 39 weeks of gestation. Her birth weight was 3.9 kg. She was
admitted to our surgical Department on the 26th day of life
because of bilious vomiting with a body weight of 3.95 kg. The cyst was 7 x
6 x 6 cm by ultrasonography in the right middle abdomen. The diagnosis was
duplication or right ovarian cyst preoperatively. Duplication of duodenum
was revealed during operation. The septum between two lumens was excised
and the wall of the duplication was tapered.
Results: On the 7th postoperative day
the girl started to be fed. Barium study showed normal function of stomach
and duodenum except a slight rigidity of the wall of duodenum. At five and
half months of age the girl¡¯s body weight was 8.75 kg and the height was 71
cm.
Conclusion: Prenatal diagnosis of a cyst in the
abdomen of a fetus by ultrasound could be ovarian cyst, choledohol cyst,
omentum cyst, duplication, hydronephrosis, etc. Other methods of
examination (Barium study, CT, MRI) could or should be selected early after
birth.