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Case Reports
. 1992 Jun;27(6):747-9.
doi: 10.1016/s0022-3468(05)80107-1.

Microperforation of a duodenal diaphragm as a cause of paradoxical gas in congenital duodenal obstruction

S W Bickler  1 , M W Harrison, E Blank, J R Campbell
Affiliations
Case Reports

Microperforation of a duodenal diaphragm as a cause of paradoxical gas in congenital duodenal obstruction

S W Bickler et al. J Pediatr Surg. 1992 Jun.

Abstract

An infant who presented with signs of duodenal atresia had proximal duodenal obstruction by upper gastrointestinal barium study, but had a small amount of air in the distal bowel. Exploration showed an annular pancreas and microperforation of a duodenal diaphragm. Prior to concluding that pancreaticobiliary duct anomalies are the path of air into the distal bowel in patients with duodenal atresia, microperforation of a duodenal diaphragm must be excluded.

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