{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T23:28:49Z","timestamp":1768087729914,"version":"3.49.0"},"reference-count":8,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,2,13]]},"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:p>A newborn delivered by emergency lower segment caesarean section at 35 weeks of gestation suspected duodenal atresia antenatally with maternal ultrasonogram showing double bubble sign. After birth, the baby was stabilised and taken up for laparotomy and was found to have duodenal atresia along with intestinal malrotation, annular pancreas and preduodenal portal vein (PDPV). Ladd\u2019s procedure with Kimura\u2019s duodenoduodenostomy was performed. In a similar previously reported case study, a gastrojejunostomy was conducted;<jats:sup>5<\/jats:sup> here, we were able to do a duodenoduodenostomy which is a better physiological anastomosis than a gastrojejunostomy since we achieved adequate duodenal mobilisation after the Ladd\u2019s procedure. Postoperatively, the patient recovered well, tolerated feeds, passed stools and gained adequate weight.<\/jats:p>","DOI":"10.1136\/bcr-2025-264877","type":"journal-article","created":{"date-parts":[[2025,2,24]],"date-time":"2025-02-24T23:55:52Z","timestamp":1740441352000},"page":"e264877","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Congenital duodenal obstruction due to duodenal atresia along with annular pancreas, intestinal malrotation and preduodenal portal vein"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-2309-3025","authenticated-orcid":false,"given":"Satya","family":"Balasubramanian","sequence":"first","affiliation":[{"name":"General Surgery, Sri Ramachandra Medical College and Research Institute, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Madhu","family":"Ramasundaram","sequence":"additional","affiliation":[{"name":"Pediatric Surgery, Sri Ramachandra Medical College and Research Institute, Chennai, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jegadeesh","family":"Sundaram","sequence":"additional","affiliation":[{"name":"Paediatric Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,2,24]]},"reference":[{"key":"2025082802324660000_18.2.e264877.1","unstructured":"Sigmon DF , Eovaldi BJ , Cohen HL . Duodenal atresia and stenosis. In: StatPearls. Treasure Island (FL): StatPearls Publishing, 2023."},{"key":"2025082802324660000_18.2.e264877.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.earlhumdev.2014.09.017"},{"key":"2025082802324660000_18.2.e264877.3","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1016\/j.epsc.2015.10.012","article-title":"Congenital duodenal obstruction due to duodenal atresia with preduodenal portal vein, annular pancreas, and intestinal malrotation associated with situs inversus abdominis: A case report","volume":"3","author":"Wabada","year":"2015","journal-title":"J Pediatr Surg Case Rep"},{"key":"2025082802324660000_18.2.e264877.4","unstructured":"Coran AG , Adzick NS , Krummel TM , et al . Pediatric surgery. Philadelphia: Elsevier Saunders, 2012:1051\u20137."},{"key":"2025082802324660000_18.2.e264877.5","doi-asserted-by":"publisher","DOI":"10.1007\/BF01658696"},{"key":"2025082802324660000_18.2.e264877.6","unstructured":"Sadler TW . Cardiovascular system. In: Langman\u2019s medical embryology."},{"key":"2025082802324660000_18.2.e264877.7","doi-asserted-by":"crossref","first-page":"195","DOI":"10.4174\/jkss.2013.85.4.195","article-title":"Preduodenal portal vein: a 3-case series demonstrating varied presentations in infants","volume":"85","author":"Kim","year":"2013","journal-title":"J Korean Surg Soc"},{"key":"2025082802324660000_18.2.e264877.8","unstructured":"Alani M , Malrotation R . StatPearls. Treasure Island (FL): StatPearls Publishing, 2023."}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-264877","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:32:56Z","timestamp":1756373576000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-264877"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2]]},"references-count":8,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025,2,24]]},"published-print":{"date-parts":[[2025,2]]}},"alternative-id":["10.1136\/bcr-2025-264877"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-264877","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2]]}}}