Congenital Duodenal Web in a Young Adult
Journal of the Korean Surgical Society
;
: 343-347, 2003.
Artículo
en Coreano
| WPRIM
| ID: wpr-36621
ABSTRACT
Congenital duodenal web in adult life is an extremely rare condition, which results from an incomplete recanalization of the duodenum during early embryologic development. We report a case of congenital duodenal web in a 23-year-old man who complained of postprandial epigastric pain and fullness, as well as nausea since childhood. The plain abdomen showed a double-bubble sign. The UGI study showed a marked dilatation of the proximal duodenum and a delayed passage of barium into the third portion of the duodenum. Abdominal ultrasonography and CT revealed a marked dilatation of the proximal duodenum and a duodenal web with windsock deformity, which originated from the ampulla of Vater and extended to the third portion of the duodenum. A winsock web with a 0.9 cm eccentric aperture and a healed ulcer proximal to the ampulla of Vater were observed during a longitudinal duodenotomy. The web was excised circumferentially and the duodenum was closed transversely in a Heineke-Mikulicz fashion.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Anomalías Congénitas
/
Úlcera
/
Bario
/
Ampolla Hepatopancreática
/
Ultrasonografía
/
Dilatación
/
Duodeno
/
Abdomen
/
Náusea
Tipo de estudio:
Estudio diagnóstico
Límite:
Adulto
/
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Surgical Society
Año:
2003
Tipo del documento:
Artículo
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