nisha
lil monkey
Topics: 146
Posts: 919
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Precisely how can you tell the difference between duodenal atresia, malrotation of bowel and annular pancreas?
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| mani
Forum Guru
Topics: 104
Posts: 1,403
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clinically these may be quite confusing duodenal atresia may or may not present with bilious vomiting depending on level of obstruction, other 2 usually have bilious vomiting. Differentiation can be made by contrast studies and sonography
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| ARJ
Forum Guru
Topics: 133
Posts: 792
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I agree
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| alenka
Forum Elite
Topics: 22
Posts: 330
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i'd say you can add midgut volvulus to the list of DD.
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| dr.vasim
Forum Senior
Topics: 4
Posts: 61
| | 10/16/05 - 12:57 AM
1 of 1 forum leaders found this post helpful
| #5 |
First of all I wud like to congratulate U fr makin us THINK abt it. BRAVO ! good Q.
*1, Clinical features : Annularpanc. : other cardiac anomalies too present with atresia + malrotation of intestine. Duodenal atresia: trisomy21 with VATER anomalies; early vomiting in duod. atresia n annular panc., delayed vomiting in lower bowel malrotation.
*2, ABD-X-Rays : will surely play a major part before US/ contrast. TRY to find out the distinguishin features fr each on plain Xray. (itz possible !) (hint : single/double bubble sign) (air fluid level)
*3, US n contrast study
*4, CT-scan abd.
rest i agree with MANI... but all the cases r managed by Ped.Surgeon.
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