Duodenal Atresia Presenting As Premature Labour: A Case Report

Abstract

The case of a twenty-four year old primigravida with severe abdominal pains and slight drainage of liquor, who was referred for investigation and further management is presented. Symphysiofundal height was greater than the estimated gestational age. Ultrasound investigation revealed gross polyhydroamnois and a large cystic mass in the foetal abdomen. The cyst measured 102mm x 78mm. There was also another cystic mass measuring 16mm in diameter seen posteriorly above the foetal diaphragm. No communication was established between the cysts. Two days later, the foetus was expelled prematurely and a distended foetal abdomen with epigastric fullness was observed. The foetus died within two hours after expulsion. A diagnosis of duodenal atresia was therefore established.