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International journal of surgery case reports · 2026

Megaduodenum secondary to jejunal atresia: a pediatric case report of a rare surgical complication.

Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Zhang Kaishan, Xian Xiaohui, Zhang Yaqin, Liang Hanzhang, Huang Qingrong

Аннотация

INTRODUCTION AND IMPORTANCE: Neonatal jejunal atresia repair is a critical surgery, but late complications such as megaduodenum can occur, emphasizing the need for continued follow-up and management.

CASE PRESENTATION: We present a 13-year-old female with a history of neonatal jejunal atresia, repaired 13 years ago by side-to-side jejunojejunal anastomosis. Due to family circumstances, she was lost to follow-up and did not receive further care. Thirteen years after the primary surgery, she presented with chronic, non-specific symptoms of abdominal distension, vomiting, and malnutrition, leading to the diagnosis of megaduodenum.

CLINICAL DISCUSSION: The patient underwent duodenal resection and end-to-end duodenojejunal anastomosis. One year following the surgery, her symptoms completely resolved, and she showed significant nutritional recovery.

CONCLUSION: This case highlights the importance of timely surgical intervention and long-term follow-up, demonstrating that anatomical reconstruction can be highly effective in treating pediatric megaduodenum, even when delayed by family-related factors.

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

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