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In this report the clinical rather than the developmental aspects of congenital duodenal obstruction will be emphasized. It seems that enough cases have been recorded to warrant giving a more definite clinical picture, and this may serve to center interest in them as clinical cases rather than as pathologic specimens. Unfortunately, the first few days of life are a veritable shadowland for diagnosis and treatment. The infant that seems barely holding on to life may be a thriving youngster a few days later, and, on the other hand, sudden and unexplained exitus of a baby apparently not very ill is an all too frequent occurrence. Similarly, at this time of life exploratory laparotomy is an adventure. It is, therefore, with some hesitancy that the effort is made to group the striking clinical features of congenital duodenal obstruction and to suggest that at least some of the cases may be brought
American journal of diseases of children – American Medical Association
Published: Dec 1, 1922
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