Double trouble with triple bubble: A rare case of double small bowel atresia in a neonate

We experienced a rare case of double small bowel atresia (SBA) at our centre. A premature baby boy was born at 35 weeks of gestation. Antenatal scans had already shown a grossly dilated stomach and bowel. Postnatal abdominal X-ray (AXR) showed a triple bubble sign. During emergency laparotomy, we fo...

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Main Authors: R. Ramanuja Naidu (Author), Mohd Razin Hassan (Author), Wan Mohd Ruzaimie Wan Mohamad Noor (Author), Mohd Tarmizi Md Nor (Author)
Format: Book
Published: Elsevier, 2021-01-01T00:00:00Z.
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100 1 0 |a R. Ramanuja Naidu  |e author 
700 1 0 |a Mohd Razin Hassan  |e author 
700 1 0 |a Wan Mohd Ruzaimie Wan Mohamad Noor  |e author 
700 1 0 |a Mohd Tarmizi Md Nor  |e author 
245 0 0 |a Double trouble with triple bubble: A rare case of double small bowel atresia in a neonate 
260 |b Elsevier,   |c 2021-01-01T00:00:00Z. 
500 |a 2213-5766 
500 |a 10.1016/j.epsc.2020.101745 
520 |a We experienced a rare case of double small bowel atresia (SBA) at our centre. A premature baby boy was born at 35 weeks of gestation. Antenatal scans had already shown a grossly dilated stomach and bowel. Postnatal abdominal X-ray (AXR) showed a triple bubble sign. During emergency laparotomy, we found that there was a Type III atresia at the second part of duodenum and a Type I atresia at the duodenojejunal junction. Duodeno-duodenostomy, duodeno-jejunostomy, duodenal plication and appendicectomy were done. Post-operatively, he was fasted for almost two weeks due to persistently high nasogastric aspirates. However, with the help of prokinetic drugs, he was finally able to tolerate breast feeding and was discharged home well. 
546 |a EN 
690 |a Atresia 
690 |a Duodenum 
690 |a Jejunum 
690 |a Pediatrics 
690 |a RJ1-570 
690 |a Surgery 
690 |a RD1-811 
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786 0 |n Journal of Pediatric Surgery Case Reports, Vol 64, Iss , Pp 101745- (2021) 
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