{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:55:19Z","timestamp":1777694119893,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Med Insights Case Rep"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:p>Duodenal obstruction in the setting of situs inversus abdominis is an uncommon clinical finding. We report 2 neonates who presented with bile-stained vomiting and abdominal distension. Diagnostic workup, including radiography and ultrasonography, confirmed the diagnosis of situs inversus abdominis with duodenal obstruction due to annular pancreas in the first case and due to intestinal malrotation in the second. A Ladd\u2019s procedure was successfully performed to relieve the obstruction. Both patients recovered well, initiating full enteral feeds and were subsequently discharged. These cases underscore the diagnostic challenges posed by this rare association and highlight that a standardized surgical approach, adapted to the mirror-image anatomy, can lead to a successful outcome. Early recognition and tailored intervention are crucial in the management of these complex patients.<\/jats:p>","DOI":"10.1177\/11795476261432010","type":"journal-article","created":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T04:51:32Z","timestamp":1773723092000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Rare Association of Duodenal Obstruction and Situs Inversus Abdominis: A Two Case Report"],"prefix":"10.1177","volume":"19","author":[{"given":"Khalid Elsaied Ali","family":"Shreef","sequence":"first","affiliation":[{"name":"Pediatric Surgery Department, Zagazig University, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdelrazek","family":"Yousef","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Department, Zagazig University, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6479-8547","authenticated-orcid":false,"given":"Ahmad","family":"Alkheder","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Al-Mouwasat University Hospital, Damascus University, Syria"},{"name":"Faculty of Medicine, Damascus University, Syria"},{"name":"Faculty of Medicine, Syrian Private University, Damascus, Syria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khaled Alsayed","family":"Abualkhair","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Department, Zagazig University, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khaled","family":"Mosad","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Department, Zagazig University, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amr","family":"Elshaer","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Department, Zagazig University, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amr","family":"Elsafy","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Department, Zagazig University, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,3,16]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.3941\/jrcr.v9i2.2358"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/ajmg.1220"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/jmg.14.1.30"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/ajmg.1219"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.7453\/gahmj.2013.008"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.47338\/jns.v3.78"},{"issue":"2","key":"e_1_3_3_8_2","first-page":"18","article-title":"Polysplenia syndrome associated with situs inversus abdominus and type I jejunal atresia","volume":"2","author":"Rasool F","year":"2011","unstructured":"Rasool F, Mirza B. Polysplenia syndrome associated with situs inversus abdominus and type I jejunal atresia. APSP J Case Rep. 2011;2(2):18.","journal-title":"APSP J Case Rep"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(83)80018-9"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-009-2406-y"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201511-748OC"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-011-1147-y"},{"issue":"9","key":"e_1_3_3_13_2","article-title":"Situs inversus totalis in association with duodenal atresia","volume":"13","author":"Alshaikh MA","year":"2021","unstructured":"Alshaikh MA, Al Ghadeer HA, Alabad H, Almohsin M, Al Ali RA. Situs inversus totalis in association with duodenal atresia. Cureus. 2021;13(9):e17764. 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