抄録
36 cases of congenital intrinsic duodenal obstruction have been treated at the Niigata University Hospital during the past 15 years. 5 cases(14%) of them were associated with gastric rupture(2 cases), gastric perforation(one case) or impending rupture(2 cases). 3 cases of them were cured. Sites of rupture and perforation including impending rupture were along the anterior midportion of the greater curvature in all of these 5 patients. Operative diagnoses of duodenal atresia associated with gastric rupture and perforation including impending rupture were made except for one case, in whom the diagnosis were made at autopsy. Preoperative diagnoses were gastric rupture in 3 cases and duodenal atresia in one and jejunal atresia in one. In this paper, we would like to discuss the diagnosis and management of the duodenal atresia associated with the gastric rupture and perforation.
