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Journal of Pediatric Surgery 2006-Oct

Pyloric obstruction, duodenal dilatation, and extrahepatic cholestasis: a neonatal triad suggesting multiple intestinal atresias.

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Ahmed A Darwish
Christian Debauche
Philippe Clapuyt
Zephyrin Feruzi
Jean de Ville de Goyet
Raymond Reding

Keywords

Abstract

Whereas physiologic jaundice constitutes a common finding in neonates, a few cases present with cholestatic jaundice owing to various pathologic conditions, including extrahepatic biliary obstruction. We report the case of a 2-day-old female neonate presenting with neonatal cholestasis, nonbilious vomiting with pyloric obstruction, and multiple intestinal atresias. A pathognomonic clinicoradiologic triad is described, based on clinical data, plain abdominal x-ray, and ultrasound examination.

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