Duodenal atresia with familial apple peel syndrome: case study with review of literature
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...
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| Veröffentlicht in: | BMJ case reports 2019-08, Vol.12 (8), p.e230160 |
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| creator | Kirtane, Jyotsna M Bhange, Snehal A Nabi, Fazal Shah, Varshil |
| description | 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. |
| doi_str_mv | 10.1136/bcr-2019-230160 |
| format | Article |
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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.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2019-230160</identifier><identifier>PMID: 31451461</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Adult ; Birth weight ; Case reports ; Catheters ; Defects ; Diagnosis, Differential ; Digestive System Surgical Procedures - methods ; Duodenal Obstruction - diagnosis ; Duodenal Obstruction - etiology ; Duodenal Obstruction - physiopathology ; Duodenal Obstruction - surgery ; Duodenum - abnormalities ; Duodenum - diagnostic imaging ; Duodenum - surgery ; Female ; Fibroblasts ; Growth factors ; Humans ; Infant, Newborn ; Intestinal Atresia - diagnosis ; Intestinal Atresia - genetics ; Intestinal Atresia - physiopathology ; Intestinal Atresia - surgery ; Jejunostomy - methods ; Jejunum - abnormalities ; Jejunum - diagnostic imaging ; Jejunum - surgery ; Medical History Taking ; Neonatal Sepsis - diagnosis ; Neonatal Sepsis - etiology ; Neonatal Sepsis - therapy ; Newborn babies ; Nutrition ; Ostomy ; Parenteral nutrition ; Parenteral Nutrition, Total - methods ; Pathogenesis ; Pediatrics ; Pregnancy ; Prenatal Diagnosis - methods ; Rare Disease ; Rare Diseases - diagnosis ; Sepsis ; Siblings ; Treatment Outcome ; Veins & arteries</subject><ispartof>BMJ case reports, 2019-08, Vol.12 (8), p.e230160</ispartof><rights>BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2019 BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ. 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b456t-8c066e97ab47d8a76e779b5e7395d2c66c759ad8a749244020d5b3f32adfee593</citedby><cites>FETCH-LOGICAL-b456t-8c066e97ab47d8a76e779b5e7395d2c66c759ad8a749244020d5b3f32adfee593</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6720596/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6720596/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31451461$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kirtane, Jyotsna M</creatorcontrib><creatorcontrib>Bhange, Snehal A</creatorcontrib><creatorcontrib>Nabi, Fazal</creatorcontrib><creatorcontrib>Shah, Varshil</creatorcontrib><title>Duodenal atresia with familial apple peel syndrome: case study with review of literature</title><title>BMJ case reports</title><addtitle>BMJ Case Rep</addtitle><description>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.</description><subject>Adult</subject><subject>Birth weight</subject><subject>Case reports</subject><subject>Catheters</subject><subject>Defects</subject><subject>Diagnosis, Differential</subject><subject>Digestive System Surgical Procedures - methods</subject><subject>Duodenal Obstruction - diagnosis</subject><subject>Duodenal Obstruction - etiology</subject><subject>Duodenal Obstruction - physiopathology</subject><subject>Duodenal Obstruction - surgery</subject><subject>Duodenum - abnormalities</subject><subject>Duodenum - diagnostic imaging</subject><subject>Duodenum - surgery</subject><subject>Female</subject><subject>Fibroblasts</subject><subject>Growth factors</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Intestinal Atresia - diagnosis</subject><subject>Intestinal Atresia - genetics</subject><subject>Intestinal Atresia - physiopathology</subject><subject>Intestinal Atresia - surgery</subject><subject>Jejunostomy - methods</subject><subject>Jejunum - abnormalities</subject><subject>Jejunum - diagnostic imaging</subject><subject>Jejunum - surgery</subject><subject>Medical History Taking</subject><subject>Neonatal Sepsis - diagnosis</subject><subject>Neonatal Sepsis - etiology</subject><subject>Neonatal Sepsis - therapy</subject><subject>Newborn babies</subject><subject>Nutrition</subject><subject>Ostomy</subject><subject>Parenteral nutrition</subject><subject>Parenteral Nutrition, Total - methods</subject><subject>Pathogenesis</subject><subject>Pediatrics</subject><subject>Pregnancy</subject><subject>Prenatal Diagnosis - methods</subject><subject>Rare Disease</subject><subject>Rare Diseases - diagnosis</subject><subject>Sepsis</subject><subject>Siblings</subject><subject>Treatment Outcome</subject><subject>Veins & arteries</subject><issn>1757-790X</issn><issn>1757-790X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkU1LHTEUhkOpVFHX3ZWAm1IYTTL5mHRREFs_QHBjwV3IzJzRXDKTaTJz5f775jpWrBuzySHnyUtyHoQ-U3JMaSlP6iYWjFBdsJJQST6gPaqEKpQmdx9f1bvoMKUVyaukvOLlJ7SbC0G5pHvo7uccWhisx3aKkJzFj256wJ3tnXfb03H0gEcAj9NmaGPo4TtubAKcprndLHSEtYNHHDrs3QTRTnOEA7TTWZ_g8HnfR7_Pf92eXRbXNxdXZ6fXRc2FnIqqIVKCVrbmqq2skqCUrgWoUouWNVI2Smi77XDNOCeMtKIuu5LZtgMQutxHP5bcca57aBsYpmi9GaPrbdyYYJ35vzO4B3Mf1kYqRoSWOeDrc0AMf2ZIk-ldasB7O0CYk2GsytOmlLCMHr1BV2GOeXhPlBYVZ6TK1MlCNTGkFKF7eQwlZivOZHFmK84s4vKNL6__8ML_05SBbwtQ96t30_4CTtahvw</recordid><startdate>20190801</startdate><enddate>20190801</enddate><creator>Kirtane, Jyotsna M</creator><creator>Bhange, Snehal A</creator><creator>Nabi, Fazal</creator><creator>Shah, Varshil</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20190801</creationdate><title>Duodenal atresia with familial apple peel syndrome: case study with review of literature</title><author>Kirtane, Jyotsna M ; Bhange, Snehal A ; Nabi, Fazal ; Shah, Varshil</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b456t-8c066e97ab47d8a76e779b5e7395d2c66c759ad8a749244020d5b3f32adfee593</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Birth weight</topic><topic>Case reports</topic><topic>Catheters</topic><topic>Defects</topic><topic>Diagnosis, Differential</topic><topic>Digestive System Surgical Procedures - methods</topic><topic>Duodenal Obstruction - diagnosis</topic><topic>Duodenal Obstruction - etiology</topic><topic>Duodenal Obstruction - physiopathology</topic><topic>Duodenal Obstruction - surgery</topic><topic>Duodenum - abnormalities</topic><topic>Duodenum - diagnostic imaging</topic><topic>Duodenum - surgery</topic><topic>Female</topic><topic>Fibroblasts</topic><topic>Growth factors</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Intestinal Atresia - diagnosis</topic><topic>Intestinal Atresia - genetics</topic><topic>Intestinal Atresia - physiopathology</topic><topic>Intestinal Atresia - surgery</topic><topic>Jejunostomy - methods</topic><topic>Jejunum - abnormalities</topic><topic>Jejunum - diagnostic imaging</topic><topic>Jejunum - surgery</topic><topic>Medical History Taking</topic><topic>Neonatal Sepsis - diagnosis</topic><topic>Neonatal Sepsis - etiology</topic><topic>Neonatal Sepsis - therapy</topic><topic>Newborn babies</topic><topic>Nutrition</topic><topic>Ostomy</topic><topic>Parenteral nutrition</topic><topic>Parenteral Nutrition, Total - methods</topic><topic>Pathogenesis</topic><topic>Pediatrics</topic><topic>Pregnancy</topic><topic>Prenatal Diagnosis - methods</topic><topic>Rare Disease</topic><topic>Rare Diseases - diagnosis</topic><topic>Sepsis</topic><topic>Siblings</topic><topic>Treatment Outcome</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kirtane, Jyotsna M</creatorcontrib><creatorcontrib>Bhange, Snehal A</creatorcontrib><creatorcontrib>Nabi, Fazal</creatorcontrib><creatorcontrib>Shah, Varshil</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kirtane, Jyotsna M</au><au>Bhange, Snehal A</au><au>Nabi, Fazal</au><au>Shah, Varshil</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Duodenal atresia with familial apple peel syndrome: case study with review of literature</atitle><jtitle>BMJ case reports</jtitle><addtitle>BMJ Case Rep</addtitle><date>2019-08-01</date><risdate>2019</risdate><volume>12</volume><issue>8</issue><spage>e230160</spage><pages>e230160-</pages><issn>1757-790X</issn><eissn>1757-790X</eissn><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.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>31451461</pmid><doi>10.1136/bcr-2019-230160</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Birth weight Case reports Catheters Defects Diagnosis, Differential Digestive System Surgical Procedures - methods Duodenal Obstruction - diagnosis Duodenal Obstruction - etiology Duodenal Obstruction - physiopathology Duodenal Obstruction - surgery Duodenum - abnormalities Duodenum - diagnostic imaging Duodenum - surgery Female Fibroblasts Growth factors Humans Infant, Newborn Intestinal Atresia - diagnosis Intestinal Atresia - genetics Intestinal Atresia - physiopathology Intestinal Atresia - surgery Jejunostomy - methods Jejunum - abnormalities Jejunum - diagnostic imaging Jejunum - surgery Medical History Taking Neonatal Sepsis - diagnosis Neonatal Sepsis - etiology Neonatal Sepsis - therapy Newborn babies Nutrition Ostomy Parenteral nutrition Parenteral Nutrition, Total - methods Pathogenesis Pediatrics Pregnancy Prenatal Diagnosis - methods Rare Disease Rare Diseases - diagnosis Sepsis Siblings Treatment Outcome Veins & arteries |
| title | Duodenal atresia with familial apple peel syndrome: case study with review of literature |
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