Delayed presentation of pure duodenal atresia in a preterm infant:  a rare case report

Edamakanti Swetha Soni; Aditya Pratap Singh; Mayur Shyam Soni; Shital Narendra Bhaisare

doi:10.18203/2349-3291.ijcp20253799

Authors

Edamakanti Swetha Soni Department of Pediatric Surgery, AIIMS Nagpur, Maharashtra, India
Aditya Pratap Singh Bhagwan Mahavir Hospital Sumerpur Pali, Maharashtra, India
Mayur Shyam Soni KIIMS-Kingsway Hospital, Nagpur, Maharashtra, India
Shital Narendra Bhaisare Department of Pediatric Surgery, AIIMS Nagpur, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20253799

Keywords:

Pure duodenal atresia, Preterm infant, Delayed presentation

Abstract

Duodenal atresia is a rare congenital anomaly that usually presents in the early neonatal period with non-bilious vomiting. We report a preterm male neonate born at 33 weeks of gestation who presented at 17 days of life with persistent non-bilious vomiting since day two. Imaging showed the classical 'double bubble' sign, and contrast study confirmed complete duodenal obstruction. Exploratory laparotomy revealed type III duodenal atresia, for which a duodeno-duodenostomy was performed. The postoperative recovery was uneventful, and the infant was thriving at one-month follow-up. This report emphasizes that even pure type III duodenal atresia can rarely present late, highlighting the importance of high suspicion in preterm neonates with persistent vomiting.

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