A Case of Neonatal Sepsis after Operation of Annular Pancreas in Newborn

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= Abstract =

A Case of Neonatal Sepsis after Operation of Annular Pancreas in Newborn

Chul Ho Lee, M.D., Wan Sup Kim, M.D.*, Eul Sam Chung, M.D.

Departments of Surgery, and Pediatrics*, Presbyterian Medical Center, Chonju, Korea

Annular pancreas is a rare congenital anomaly with the descending duodenum encircled by a

ring

of pancreatic tissue,

which

may cause partial or complete ob- struction of the duodenum. In newborn, the symptoms can be those of duodenal stasis resulting

from

partial

intestinal

obstruction secondary to some degree of duodenal stenosis. A male newborn

weighing

2.0 Kg was born by C-section de- livery at 37 weeks' gestation to a 27-year-old mother who had a hydramnios.

He was in relatively good condition at birth except regurgitation of saliva and in- termittent apnea. A plain film of the abdomen showed the double-bubble of gas filled stomach and proximal duodenum, and upper gastrointestinal series showed a dilated proximal duodenum,

with

a complete obstruction of the descending duo- denum. Intraoperative finding

revealed

encirclement of the duodenal second por- tion by pancreatic tissue. Duodenojejunostomy was performed. After the opera- tion, he had developed two serious complications, neonatal septicemia by Entero- bacter cloacae on postoperative day 12 and systemic candidiasis on postoperative day 19, and been managed

with ventilatory

support, antibiotics, and antifungal agents with recovery.

Index Words:Annular pancreas, Neonatal sepsis

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