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Rare disease
CASE REPORT
Duodenal atresia with familial apple peel syndrome: case study with review of literature
  1. Jyotsna M Kirtane1,
  2. Snehal A Bhange2,
  3. Fazal Nabi1 and
  4. Varshil Shah1
  1. 1 Pediatric Surgery, Jaslok Hospital and Research Centre, Mumbai, India
  2. 2 General Surgery, Jaslok Hospital and Research Centre, Mumbai, India
  1. Correspondence to Dr Snehal A Bhange, drsnehalbhange{at}gmail.com

Abstract

This is a case report of a neonate who was antenatally diagnosed with jejunal atresia which turned out to be duodenal atresia with apple peel syndrome. A previous sibling, who also had apple peel but with jejunal atresia, succumbed to sepsis after surgery. The first sibling had jejunal stenosis and had died of sepsis following surgery. Combination of duodenal atresia with apple peel is extremely rare. This coupled with a familial condition is rarer still. This case was challenging due to the short length of the gut and prolonged need for total parenteral nutrition and sepsis in postoperative period.

  • congenital disorders
  • neonatal and paediatric intensive care
  • paediatric surgery

https://doi.org/10.1136/bcr-2019-230160

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    Footnotes

    • Contributors All the authors have made significant contributions towards the making of this paper. The entire concept and design was arrived at by consensus. Each of them has contributed to variable degree in all the above mentioned categories. JMK and SAB take responsibility for the integrity of the work as a whole from inception to published article and both of them should be designed as the ‘guarantor’.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Patient consent for publication Obtained.