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Case scenarios
Paediatric Surgery write up@ NVA
Makerere University College of Health Sciences
PDF202310 pages6.0 MB
A 1½‑year‑old female born at 32 weeks gestation presented with persistent bilious vomiting, abdominal distension, and failure to thrive. Physical examination revealed a moderately distended abdomen and signs of dehydration. Imaging showed a double‑bubble sign consistent with duodenal atresia. The patient received fluid resuscitation, antibiotics, nasogastric decompression, and definitive surgical repair via a diamond‑shaped duodenoduodenostomy. Post‑operative prognosis is favorable given timely intervention and absence of associated anomalies.
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