Eur J Pediatr Surg 2011; 21(5): 340-342
DOI: 10.1055/s-0031-1277134
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A Rare Case of Duodenal Atresia with Apple-peel Configuration of the Small Intestine and Malrotation

R. T. Patil1 , R. Gupta2 , S. V. Parelkar2 , S. Oak2 , B. Sanghvi2 , A. Prakash2 , M. Bachani2 , P. H. Shimoga2 , S. Sahoo2
  • 1Seth GS Medical College and KEM Hospital, Pediatric Surgery, Mumbai, India
  • 2KEM Hospital, Pediatric Surgery, Mumbai, India
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Publication History

Publication Date:
06 May 2011 (online)


According to the current understanding, errors in recanalization during the early gestation period lead to duodenal atresia. Duodenal atresia differs from intestinal atresias in other parts of the bowel, which are thought to result from vascular accidents during later phases of gestation [1] [2] [3]. We report a rare case of duodenal atresia with apple-peel configuration of the remaining small intestine, an absent superior mesenteric artery and associated malrotation in a preterm child, which indicates that in rare circumstances vascular accidents may be the underlying cause of duodenal atresia [4]. This is the 4th such case to be reported in the English literature [4] [5] [6].



Dr. Rjashekhar T Patil, MCh ped surg (senior resident) 

Seth GS Medical College and KEM Hospital

Pediatric Surgery

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New MS Building

400012 Mumbai


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