To cite: Chandrasekaran N, Benardete D, Cariello L, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2017219208 DESCRIPTION A primigravid woman aged 29 years presented for the first time to our antenatal clinic for routine check-up at 34 weeks of pregnancy. She denied any symptoms. Medical, surgical, social and family histories were reviewed and were unremar...

The double bubble sign in neonates is seen on plain abdominal radiographs in a variety of conditions. It represents gas distended dilated stomach and proximal duodenum, and implies congenital proximal bowel obstruction. A newborn with a double bubble and no distal bowel gas can be presumed to have duodenal atresia and in most cases no further imaging is required. If double bubble is present wit...

BACKGROUND Colonic atresia (CA) is a rare form of congenital intestinal atresia. Although CA may be isolated, it is more commonly reported in literature in association with other congenital anomalies. MATERIALS AND METHODS This study is a review of prospectively collected data of all the patients with colonic atresia presented to our center (Ain Shams University) during 2008 to 2016. RESULT...

Abstract Background We report an adult patient with features of VACTERL - oesophageal and anal atresia, cardiac malformation. In infancy he underwent colonic interposition for atresia using the transverse colon as a conduit. As teenager formation Koch continent ileostomy after previous stoma atresia. Eventual failure pouch nipple valve necessitated laparotomy attempted refashioning. Unfortunate...

The use of transpyloric feeding in 46 very ill newborn infants requiring assisted ventilation was evaluated. It was found to be a simple and well-tolerated technique. A possible complication of significance was necrotising enterocolitis in 4 infants. Transpyloric tube feeding in 3 infants with treated upper small-bowel atresia is also described.

Atresia of the colon is a rare anomaly with an incidence of between 1:20,000 and 1:66,000 live births being reported. Hirschsprung's disease association with Colonic atresia is usually diagnosed after several failures of intestinal anastomoses. We herein report one of the first patients in the literature diagnosed before a therapeutic challenge. A 2-day-old female was admitted with severe abdom...

A premature neonate, born at 32 weeks gestation to a primigravida, weighing 1.3 kg was admitted with bilious vomiting on 3rd day of life. The mother never had an antenatal care and the local birth attendant in the village had conducted the delivery. The baby’s general condition was poor. He was diagnosed to have duodenal atresia; no other associated anomaly was apparent. He was septicemic; bloo...

Background: The aim of this study was to analyze the etiology, symptom frequency, management, and surgical outcome of gastrointestinal obstruction in the first month of life.Methods: A total of 72 neonates with gastrointestinal obstruction were reviewed over a period of 16 months.Results: The male to female ratio was 2.4:1. In this study, 75% of the neonates were presented in the fi...

OBJECTIVE To investigate risk factors for sensorineural hearing loss (SNHL) in children after liver transplantation. DESIGN Retrospective medical record review. SETTING Pediatric tertiary care hospital. PATIENTS One hundred twenty-five consecutive children who received liver transplants between March 1, 1987, and June 30, 1996. MAIN OUTCOME MEASURES The presence of SNHL (bone conduction...