Atresia duodenal associada a pâncreas anular: relato de caso

relatar o caso de um recem-nascido com sindrome de obstrucao intestinal alta e multiplas anomalias congenitas associadas. Relato do caso: neonato, pre-termo, apresentou quadro de vomitos biliosos e distensao abdominal progressiva, evoluindo com aspiracao de conteudo intestinal.Radiografia simples de abdome revelou o sinal da "dupla bolha". Foi submetido a laparotomia exploradora que identificou atresia duodenal e pâncreas anular associados a ma-rotacao intestinal. Realizou-se duodenojejunostomia com melhora do quadro clinico do paciente e evolucao assintomatica. Consideracoes Finais: a atresia duodenal e o pâncreas anular sao importantes causas de obstrucao intestinal neonatal e a combinacao de ambas e rara. to report the case of a newborn with intestinal obstruction syndrome and multiple congenital anomalies associated. Case Report: neonate, preterm, presented bilious vomiting and progressive abdominal distension,which evolved to aspiration of intestinal contens. Abdominal plain film showed the "double bubble" sign. The patient underwent an exploratory laparotomy that revealed duodenal atresia and annular pancreas associated with intestinal malrotation. Duodenojejunostomy was performed, with clinical condition improvement, whichevolved without symptoms. Final considerations: the annular pancreas and duodenal atresia are important causes of neonatal intestinal obstruction and the combination of both is rare.