Down sendromlu bir hastada hirschsprung hastalığı ve duodenal atrezi

Key Findings & Data:An abdominal radiography showed the double-bubble sign, characteristic for duodenal obstruction, and the patient was operated with prediagnosis of duodenal atresia.

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Conclusion & Impact:Radiologists and pediatric surgeons should consider this issue for a correct diagnosis and treatment.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

A two days-old newborn female patient with Down Syndrome was admitted to our hospital with complaint of vomiting. Physical examination was unremarkable except for the typical physical appearance of Down Syndrome. An abdominal radiography showed the double-bubble sign, characteristic for duodenal obstruction, and the patient was operated with prediagnosis of duodenal atresia. However, during the operation, Hirschsprung’s disease was suspected and the diagnosis was confirmed by rectal biopsy. In this study, we described the case of duodenal atresia together with Hirschsprung’s disease in a patient with Down Syndrome. Radiologists and pediatric surgeons should consider this issue for a correct diagnosis and treatment.

Özet

Down sendromu olan iki günlük yenidoğan kız hasta kusma şikayeti ile hastanemize başvurdu. Fizik muayenede Down sendromu’nun tipik fiziksel görünümü dışında özellik yoktu. Abdominal radyografide, duodenal obstrüksiyon için karakteristik olan çift kabarcık işareti izlendi ve hasta duodenal atrezi ön tanısı ile ameliyat edildi. Ancak operasyon sırasında, Hirschsprung hastalığından şüphelenildi, kesin tanısı rektal biyopsi ile doğrulandı. Bu çalışmada, biz Down sendromlu bir hastada Hirschsprung hastalığı ile birlikte olan duodenal atrezi olgusunu tanımladık. Radyolog ve çocuk cerrahları doğru tanı ve tedavi için bu durumu göz önünde bulundurmalıdır.

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Cite This Article

SEKMENLİ, T., KOPLAY, M., KIVRAK, A. S., ALABALIK, U. (2022). Down sendromlu bir hastada hirschsprung hastalığı ve duodenal atrezi. European Journal of General Medicine, Cilt: 8 - Sayı: 2, 157–159. https://ajindex.com/articles/511177

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