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Case Report

Duodenal Obstruction due to Duodenal Web in Three-year-old Girl: A Case Report

So Hyun Nam1, Yun-Jung Lim2
Journal of the Korean Association of Pediatric Surgeons 2014;20(2):65-68.
Published online: December 30, 2014

1Department of Surgery, Inje University Haeundae Paik Hospital, Busan, Korea.

2Department of Radiology, Inje University Haeundae Paik Hospital, Busan, Korea.

Correspondence: So Hyun Nam, Department of Surgery, Inje University Haeundae Paik Hospital, 875, Haeun-daero, Haeundae-gu, Busan 612-896, Korea. Tel: +82-51-797-0260, Fax: +82-51-797-0276, namsh@paik.ac.kr
• Received: September 19, 2014   • Revised: October 10, 2014   • Accepted: October 13, 2014

Copyright © 2014 by the Korean Association of Pediatric Surgeons

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Congenital duodenal obstruction is a one of the emergent surgical conditions in neonates. Almost of them were diagnosed with double-bubble sign in prenatal ultrasonography. However, partial obstruction caused from duodenal web could be overlooked. We reported a duodenal web in early childhood. A three-year-old girl visited at our pediatric clinic for constipation. She had been showed non-bilious vomiting after weaning meal since 6 months old of her age, but her weight was relevant for 50-75 percentile of growth curve. Barium enema was initially checked, but any abnormal finding was not found. We noticed the severely distended stomach and 1st portion of duodenum. Upper gastrointestinal series revealed partial obstruction in 2nd portion of duodenum. After laparotomy, we found the transitional zone of duodenum and identified a duodenal web via duodenotomy. We performed duodeno-duodenostomy without any injury of ampulla of Vater. She was recovered uneventfully. During 6 months after operation, she does well without any gastrointestinal symptoms or signs, such as vomiting or constipation.
  • Keywords: Duodenal obstruction; Congenital; Child

No potential conflict of interest relevant to this article was reported.

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Fig. 1
Simple X-ray shows severe dilated stomach and duodednum 1st portion.
jkaps-20-65-g001.jpg
Fig. 2
Upper gastrointestinal series showed partial obstruction in 2nd portion of duodenum with abrupt narrowing caused by web (line).
jkaps-20-65-g002.jpg
Fig. 3
(A) We found transition zone grossly. (B) We did enterotomy at the 1st portion. Duodenal web was visible and 8 Fr foley catheter was inserted via web opening. (C) We did duodenoduodenostomy.
jkaps-20-65-g003.jpg

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Duodenal Obstruction due to Duodenal Web in Three-year-old Girl: A Case Report
J Korean Assoc Pediatr Surg. 2014;20(2):65-68.   Published online December 30, 2014
DOI: https://doi.org/10.13029/jkaps.2014.20.2.65
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
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Duodenal Obstruction due to Duodenal Web in Three-year-old Girl: A Case Report
J Korean Assoc Pediatr Surg. 2014;20(2):65-68.   Published online December 30, 2014
DOI: https://doi.org/10.13029/jkaps.2014.20.2.65
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Duodenal Obstruction due to Duodenal Web in Three-year-old Girl: A Case Report
Image Image Image
Fig. 1 Simple X-ray shows severe dilated stomach and duodednum 1st portion.
Fig. 2 Upper gastrointestinal series showed partial obstruction in 2nd portion of duodenum with abrupt narrowing caused by web (line).
Fig. 3 (A) We found transition zone grossly. (B) We did enterotomy at the 1st portion. Duodenal web was visible and 8 Fr foley catheter was inserted via web opening. (C) We did duodenoduodenostomy.

Fig. 1

Fig. 2

Fig. 3

Duodenal Obstruction due to Duodenal Web in Three-year-old Girl: A Case Report
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