The Indian Journal of Pediatrics

, Volume 62, Issue 3, pp 317–320 | Cite as

Study of congenital duodenal obstruction

  • K. N. Rattan
  • Anita Sharma
  • V. K. Sharma
Original Article


A study of 23 neonates with congenital duodenal obstruction is reported. Their mean gestational age was 38 weeks and mean weight was 2.2 kg. Main clinical features observed were vomiting (100%), which was bilious in 74%, and epigastric fullness with visible peristalsis (74%). Plain X-ray abdomen confirmed the diagnosis in 78%. Associated congenital malformations were seen in 39% of cases. Eleven babies had an intrinsic defect, 11 had extrinsic defect and one baby had combination of intrinsic and extrinsic defect. Malrotations along with band was seen in 39% of cases. Reported mortality was 39%.

Key words

Congenital duodenal obstruction Malrotation 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Colborn GL, Gray SW, Pemberton LB, Skandalakis LJ, Skandalakis JE. The duodenum: pathology.An Surg 1989; 55: 469–473.Google Scholar
  2. 2.
    Boyden EA, Cope JG, Bill AK Jr. Anatomy and Embryology of congenital intrinsic obstruction of the duodenum.Am J Surg 1967; 114: 190–202.PubMedCrossRefGoogle Scholar
  3. 3.
    Jain SK, Singla SK, Taneja SB, Pathania OP. Congenital Intrinsic duodenal obstruction due to diaphragm.Indian J Gastroenterol 1989; 8: 202–203.PubMedGoogle Scholar
  4. 4.
    Nixon HH. Duodenal atresia.Br J Hosp Med 1989; 41: 134–140.PubMedGoogle Scholar
  5. 5.
    Bailey PV, Taracy TF, Connors RH et al. Congenital duodenal obstruction: A 32-year review.J Pediatr Surg 1993; 28: 92–95.PubMedCrossRefGoogle Scholar
  6. 6.
    Ladd WE. Congenital duodenal obstruction.Surgery 1937; 1: 878–885.Google Scholar
  7. 7.
    Adeyemi SD. Duodenal obstruction in Nigerian newborns and infants.Scand J Gastroenterol 1986; 21: 157–161.Google Scholar
  8. 8.
    Atwell JD, Klidjian AM. Vertebral anomalies and duodenal atresia.J Pediatr Surg 1987; 17: 237–240.CrossRefGoogle Scholar
  9. 9.
    Daum R, Bolkenius M, Schuler B. Results after operation for congenital duodenal obstruction.Z Kinderachir 1977; 20: 253–261.Google Scholar
  10. 10.
    Ernst NP. A case of congenital atresia of the duodenum treated successfully by operation.Br Med J 1916; 1: 144–145.CrossRefGoogle Scholar
  11. 11.
    Coppens B and Vos A. Duodenal atresia.Pediatr Surg Int 1992; 7: 435–437.CrossRefGoogle Scholar
  12. 12.
    Girvan DP, Stephens CA. Congenital intrinsic duodenal obstruction: A twenty year review of its surgical management and consequences.J Pediatr Surg 1974; 9: 833–839.PubMedCrossRefGoogle Scholar
  13. 13.
    Aubrepsy P, Derlon S, Seriat-Guatier B. Congenital duodenal obstruction: A review of 82 cases.Prog Pediatr Surg 1978; 11: 109–124.Google Scholar
  14. 14.
    Yadav K. Neonatal duodenal obstruction.Am J Gastroenterol 1979; 71: 485–489.PubMedGoogle Scholar
  15. 15.
    Wesley JR, Mahour GH. Congenital intrinsic duodenal obstruction: A twenty-five year review.Surgery 1977; 82: 716–720.PubMedGoogle Scholar
  16. 16.
    Wayne ER, Burrington JD. Management of 97 children with duodenal obstruction.Arch Surg 1973; 107: 857–860.PubMedGoogle Scholar

Copyright information

© Dr. K C Chaudhuri Foundation 1995

Authors and Affiliations

  • K. N. Rattan
    • 1
  • Anita Sharma
    • 2
  • V. K. Sharma
    • 3
  1. 1.Department of Pediatric SurgeryMedical CollegeRohtak
  2. 2.Department of Pediatric MedicineMedical CollegeRohtak
  3. 3.Department of RadiodiagnosisMedical CollegeRohtak

Personalised recommendations