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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
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  • Published on:
    Response to eLetter submitted to BMJ Case Reports
    • Ramnik V Patel, Director-Professor
    • Other Contributors:
      • Dhaval Govani, Rasila Patel, Devendra B Dekiwadia
    We are grateful for your comments in our images in medicine article in BMJCR entitled "'Neonatal duodeno-duodenostomy and missed duodenal stenosis with windsock deformity: a rare intraoperative error of technique and judgement by an unwary surgeon"1 We agree that finding bile in what is considered a distal segment of an atretic duodenum does not exclude all possible pathology. We are in agreement with your statement that duodena...
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    Conflict of Interest:
    None declared.
  • Published on:
    Bifid bile duct duodenal web bypass

    Indeed, this is a very interesting case illustrating that a positive intraoperative sign (finding bile in what is considered a distal segment of an atretic duodenum) does not exclude every possible pathology. However, I am still not convinced about the underlying pathology in this case. In my opinion, a perforated duodenal windsock web would allow a greater amount of air to pass through (and more gas appearing in the ab...

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    Conflict of Interest:
    None declared.