Nonbilious Kusma ile Yenidoğan Döneminde Konjenital Duodenal Obstrüksiyonun Nadir Bir Nedeni: Annüler Pankreas
Yenidoğan bebeklerde konjenital duodenal obstrüksiyonun (CDO)
çeşitli nedenleri iyi bilinmektedir, ancak spesifik bir radyolojik tanı
koymak zordur. CDO'lar ekstrinsik ve intrenik olarak sınıflandırılır.
Annuler pankreas (AP) ekstrinsik nedenlere karışır ve operasyon
sırasında sıklıkla fark edilir. Anulus genellikle duodenumun ikinci
bölümünü tamamen çevreleyen bir pankreatik doku bandından
oluşur. Yenidoğan döneminde duodenumun ilk bölümünü tamamen
çevreleyen, noninvaziv kusma ve sarılık ile birlikte CDO'nun nadir
bir nedeni olarak AP'yi, tanımlayacağız ve tanı stratejilerini ile
yönetimini tartışacağız.
A Rare Cause of a Congenital Duodenal Obstruction in The Newborn Period with Nonbilious Vomiting: Annular Pancreas
The various causes of congenital duodenal obstruction (CDO) in the
newborn infants are well known but a spesific radiologic diagnosis
is difficult to establish. CDOs are classified as extrinsic and intrensic.
The annuler pancreas (AP) is involved in extrinsic causes, and is
frequently recognised during operation. The annulus is usually
consists of a band of pancreatic tissue that completely surrounds the
second part of the duodenum. We will describe AP, completely
encircled the first portion of the duodenum in the newborn period as
a rare cause of CDO with nonbilious vomiting, jaundice and discuss
the diagnostic strategies and management.
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