A 5 d/o female baby with G2P2, GA: 38+5 wks, BBW:2900g, via NSD. Occasional mild milk regurgitation was noted since birth.
She was fed with infant formula 40cc/q3-4h at home, but intermittent post-prandial vomiting and decreased milk intake (10-20 ml/q4h) for 2 days. Body weight loss (2900à2630gm) and decreased urine output (decreased diaper wetness) were noted today. She was brought to our hospital and then admitted for further management. After admission, NPO with OG decompression was given. The abdominal sonography revealed negative findings.The PES revealed partial obstruction over 2nd portion of duodenum. The ped surgeon was consulted and suggested laparatomy. The hypotonic duodenography revealed compatible with annular
pancreas or antral web. Surgery with release of adhesion band over 2nd portion of duodenum and duodenal tube insertion were performed. Keep on post-OP care and N-J tube care. The wound was improved gradually after treatment. Try oral feeding and well tolerated. Then, we DC IVF and AV pad. Well activity and appetite. Therefore, the patient discharged and OPD follow up.
