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Neonatal duodenoduodenostomy and missed duodenal stenosis with windsock deformity: a rare intraoperative error of technique and judgement by an unwary surgeon
  1. Ramnik V Patel1,2,
  2. Dhaval Govani3,
  3. Rasila Patel4,
  4. Devendra B Dekiwadia5
  1. 1Department of Paediatric Urology, University College London Hospitals NHS Foundation Trust, London, UK
  2. 2Department of Paediatric Urology, Great Ormond Street Children Hospital NHS Trust, London, UK
  3. 3Birmingham Medical School, Birmingham, UK
  4. 4Department of Alternative Medicine, PGICHR, Rajkot, India
  5. 5Department of Surgery, PDUMC, Rajkot, India
  1. Correspondence to Ramnik V Patel, ramnik{at}

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This is a case of a full-term male infant born by vaginal delivery. Pregnancy was complicated by polyhydramnios and double bubble sign on anomaly but no evidence of Down's syndrome or other associated congenital anomalies. A size 10 nasogastric tube was inserted easily into the stomach without any hold-up and dark green bile of 100 mL was drained. Anus was normally sited and of normal calibre. A plain abdominal radiograph showed a double bubble sign (figure 1A). The infant underwent exploratory laparotomy and duodenoduodenostomy for presumed duodenal atresia. At operation it was noted that dark …

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