Abstract
Multiple point duodenal atresia is an extremely rare condition with atretic segments
in either two or three sites of the duodenum. We report a newborn male patient who
presented to our institution with bilious vomiting, nonpassage of meconium, mild abdominal
distension, and a palpable epigastric abdominal mass ∼1 × 1 cm. A faint double bubble
was found on abdominal X-ray. On exploratory laparotomy, a duodenal cyst due to double
duodenal atresia was found and a typical diamond-shaped duodeno-duodenostomy was created.
A postoperative contrast study revealed passage of the contrast media into distal
intestine. However, the patient died 2 weeks later due to uncontrolled sepsis and
pneumonia. Despite the fact that multiple-point duodenal atresia is a rare condition,
it should be considered as a differential diagnosis to avoid missed pathology.
Keywords
double - duodenum - atresia - abdominal cyst
