Anomalous biliary ducts associated with duodenal atresia.

Published

Journal Article (Review)

Duodenal atresia is rarely associated with anomalous biliary ducts that permit communication between the proximal and distal duodenal segments. Two such cases are presented herein and the literature is reviewed. Although the typical radiographic pattern of duodenal atresia is the "double bubble" sign with absence of distal bowel gas, air may be present in the distal bowel when anomalous bile ducts provide a conduit around the atretic segment. Contrast studies are generally not performed in the typical clinical and radiographic evaluation of duodenal atresia; however, an upper gastrointestinal series may be useful in defining the more complex anomaly. Clinical presentation may occur relatively late if the biliary communication is large enough to permit passage of some milk or formula. Care should be taken at surgery to avoid obstruction or injury to the anomalous bile ducts, and operative cholangiography may be useful to document continued bile duct patency following repair of the atresia. Theories of the etiology of this anomaly relate to interference with recanalization of the duodenum by the process of hepaticopancreatic duct formation and persistence of the primitive "dual duct" stage.

Full Text

Duke Authors

Cited Authors

  • Knechtle, SJ; Filston, HC

Published Date

  • December 1990

Published In

Volume / Issue

  • 25 / 12

Start / End Page

  • 1266 - 1269

PubMed ID

  • 2286903

Pubmed Central ID

  • 2286903

International Standard Serial Number (ISSN)

  • 0022-3468

Digital Object Identifier (DOI)

  • 10.1016/0022-3468(90)90527-g

Language

  • eng

Conference Location

  • United States