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Rapid Communication| Volume 27, ISSUE 6, P747-749, June 1992

Microperforation of a duodenal diaphragm as a cause of paradoxical gas in congenital duodenal obstruction

  • Author Footnotes
    1 From the Division of Pediatric Surgery, Department of Surgery, and the Department of Radiology, School of Medicine, Oregon Health Sciences University, Portland, OR.
    Stephen W. Bickler
    Footnotes
    1 From the Division of Pediatric Surgery, Department of Surgery, and the Department of Radiology, School of Medicine, Oregon Health Sciences University, Portland, OR.
    Affiliations
    Portland, Oregon
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  • Author Footnotes
    1 From the Division of Pediatric Surgery, Department of Surgery, and the Department of Radiology, School of Medicine, Oregon Health Sciences University, Portland, OR.
    Marvin W. Harrison
    Correspondence
    Address reprint requests to Marvin W. Harrison, MD, Division of Pediatric Surgery, L223, Oregon Health Sciences University, 3181 SW Sam Jackson Park Rd, Portland, OR 97201.
    Footnotes
    1 From the Division of Pediatric Surgery, Department of Surgery, and the Department of Radiology, School of Medicine, Oregon Health Sciences University, Portland, OR.
    Affiliations
    Portland, Oregon
    Search for articles by this author
  • Author Footnotes
    1 From the Division of Pediatric Surgery, Department of Surgery, and the Department of Radiology, School of Medicine, Oregon Health Sciences University, Portland, OR.
    Eugene Blank
    Footnotes
    1 From the Division of Pediatric Surgery, Department of Surgery, and the Department of Radiology, School of Medicine, Oregon Health Sciences University, Portland, OR.
    Affiliations
    Portland, Oregon
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  • Author Footnotes
    1 From the Division of Pediatric Surgery, Department of Surgery, and the Department of Radiology, School of Medicine, Oregon Health Sciences University, Portland, OR.
    John R. Campbell
    Footnotes
    1 From the Division of Pediatric Surgery, Department of Surgery, and the Department of Radiology, School of Medicine, Oregon Health Sciences University, Portland, OR.
    Affiliations
    Portland, Oregon
    Search for articles by this author
  • Author Footnotes
    1 From the Division of Pediatric Surgery, Department of Surgery, and the Department of Radiology, School of Medicine, Oregon Health Sciences University, Portland, OR.
      This paper is only available as a PDF. To read, Please Download here.
      An infant who presented with signs of duodenal atresia had proximal duodenal obstruction by upper gastrointestinal barium study, but had a small amount of air in the distal bowel. Exploration showed an annular pancreas and microperforation of a duodenal diaphragm. Prior to concluding that pancreaticobiliary duct anomalies are the path of air into the distal bowel in patients with duodenal atresia, microperforation of a duodenal diaphragm must be excluded.

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