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Health Dictionary

Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.

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Duodenal atresia differential diagnosis

Introduction

Overview

Overview

Duodenal atresia must be differentiated from other diseases that cause persistent vomiting, and feeding difficulties, such as volvulus, jejuno-ileal atresia, malrotation, and meconium ileus. It is differentiated based on imaging.

Differentiating duodenal atresia from other Diseases

Differentiating duodenal atresia from other Diseases

  • Duodenal atresia must be differentiated from other diseases that cause persistent vomiting, and feeding difficulties, such as volvulus, jejuno-ileal atresia, and malrotation.[1][2][3]
Diseases History and Symptoms Physical Examination Laboratory Findings Other Findings
Vomiting Feeding difficulty Stool present Bilious vomitus Abdominal distension Abdominal tenderness Dehydrated Abdominal ultrasound Abdominal x-ray Electrolytes
Duodenal Atresia + + +/- + +/- + + Gas in stomach with absent gas in small intestine Stomach distension and air fluid levels

Double bubble sign

Hypokalemia

Hyperchloremia

Down syndrome
Jejuno-ileal atresia + + +/- + + + + Gas in stomach with no gas in colon Stomach and proximal small intestine distension Hypokalemia

Hyperchloremia

Volvulus + + +/- + + + + Spiral sign Malrotation of intestine with gas in stomach and air fluid levels Hypokalemia

Hyperchloremia

Meconium ileus + + +/- + + + + Distension Air fluid levels Hypokalemia

Hyperchloremia

Cystic fibrosis
References

References

  1. ↑ Adams, Stephen D.; Stanton, Michael P. (2014). “Malrotation and intestinal atresias”. Early Human Development. 90 (12): 921–925. doi:10.1016/j.earlhumdev.2014.09.017. ISSN 0378-3782.
  2. ↑ Morris, Grant; Kennedy, Alfred; Cochran, William (2016). “Small Bowel Congenital Anomalies: a Review and Update”. Current Gastroenterology Reports. 18 (4). doi:10.1007/s11894-016-0490-4. ISSN 1522-8037.
  3. ↑ Kimura K, Loening-Baucke V (2000). “Bilious vomiting in the newborn: rapid diagnosis of intestinal obstruction”. Am Fam Physician. 61 (9): 2791–8. PMID 10821158.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [2]