Duodenal Atresia with Anorectal Malformation.

Parents of our patient came antenatally to our OPD with an antenatal USG which was suggestive of duodenal atresia in the fetus. The parents were counselled regarding the disease and the requirement of surgery soon after birth. The child was subsequently delivered by caesarean section and was shifted to NICU. It was a male child with birth weight of only 2 kgs. On clinical examination, the child was unexpectedly found to have anorectal malformation, and further radiological tests confirmed the presence of duodenal atresia as well.

Association of duodenal atresia with anorectal malformation is an extremely rare condition with only a few cases reported worldwide. The baby’s parents were counselled regarding the condition and the child was taken for surgery. Exploratory laparotomy with duodeno-duodenostomy with loop sigmoid colostomy was performed in a single stage and postoperatively the baby was shifted to NICU on ventilator. The baby was extubated and removed from ventilator after 2 days, oral feeds were started after 5 days and the baby was discharged on 10th postoperative day.