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February 1965

Intestinal Obstruction in the Newborn: An Unusual Case Due to Mesenteric Cyst

Author Affiliations

From the Surgical Service (Capt Fish and Capt Fair), and Pediatric Service (Maj Canby), Martin Army Hospital.

Arch Surg. 1965;90(2):317-318. doi:10.1001/archsurg.1965.01320080141029

INTESTINAL obstruction in the newborn period is not an uncommon finding and may be due to a variety of conditions. Nowhere in the literature, however, have we encountered a case of complete intestinal obstruction produced by a mesenteric cyst. The purpose of this paper is to record such a case.

Report of a Case  On Oct 31, 1963, a 3,408 gm (7 lb 8 oz), term female infant was born to a healthy 29-year-old mother. The pregnancy was uncomplicated and the delivery uneventful except for the presence of polyhydramnios. The initial newborn physical examination was unremarkable. At 26 hours of age, the infant began vomiting small amounts of bile stained material. At 48 hours of age, one of many examiners palpated a large midabdominal mass. Abdominal x-rays revealed the "double bubble" sign indicative of duodenal obstruction (Fig 1).Under general anesthesia the large, orange sized, freely movable mass was easily

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