PMID: 11932992Apr 5, 2002Paper

Duodeno-jejunal atresia with volvulus, absent dorsal mesentery, and absent superior mesenteric artery: a hereditary compound structure in duodenal atresia?

American Journal of Medical Genetics
W PumbergerJ Deutinger

Abstract

Duodenal atresia predominantly represents an isolated entity, but could also be part of a complexly structured intestinal malformation. We report four children, including two from one family, with duodeno-jejunal atresia associated with malrotation, volvulus, and absent parietal attachment of the mesentery. Gross absence of the mesentery and absence of distal parts of the superior mesenteric artery were the most remarkable findings. The small intestine was supplied retrogradely from the right colic artery. Consideration of embryological theories of this malformation takes into account the important role of the duodeno-jejunal flexure during the process of entry of the small bowel loops into the abdomen. Familial occurrence suggests autosomal recessive inheritance. We propose differentiating the pathoanatomical findings in our patients from classical apple peel small bowel syndrome (APSB).

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Citations

Jul 19, 2002·Prenatal Diagnosis
Dec 13, 2012·Pediatric Radiology·Charles M MaxfieldJennifer L Shaffer
Oct 17, 2007·Surgical and Radiologic Anatomy : SRA·Ahmed ShafikOlfat El Sibai
May 25, 2005·Pediatric Surgery International·H Okti PokiJ Pitkin
Jun 16, 2010·Pediatric Surgery International·Vicki Martin, Charles Shaw-Smith
May 1, 2008·Journal of Perinatology : Official Journal of the California Perinatal Association·T E Herman, M J Siegel
Oct 13, 2016·Clinical Endoscopy·Rossella AngottiMario Messina
Jan 31, 2020·Journal of Paediatrics and Child Health·Zlatan ZvizdicSemir Vranic

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