Duodene stenosis by congenital brida: a case report

Abstract

Objective: To report and discuss the clinical case of obstructive acute abdomen, due to congenital bridle, in a neonate patient, never submitted to previous surgery. Case details: The report refers to a neonate patient, 12 days old, taken to the emergency room with a main complaint of jaundice for 10 days; however, the anamnesis reported frequent regurgitations after breastfeeding, since discharge. An investigation into the cause of the vomiting was then initiated. The initial imaging exams, as well as the large quantity of evacuation with a meconium appearance, ruled out the hypothesis of intestinal obstruction. However, non-parenteral feeding repeatedly resulted in emesis. A new x-ray of the abdomen, after the passage of air through a nasogastric tube, revealed a slight narrowing of the duodenal region, raising a hypothesis of partial obstruction, confirmed by exploratory laparotomy as a congenital duodenal bridle. Final considerations: The exposed case, of low incidence and little reported previously, with rare bibliographic references, especially more recent, exposes the need for discussion about it, and it can be used as a tool to help professionals in the early diagnosis and treatment of the condition effectively.