Congenital Duodenal Membranous Stenosis and its Endoscopic Image. Case-report
Malý J.1, Pozler O.1, Králová M.2, Rejtar P.3
Dětská klinika FN a LF UK, Hradec Králové,1 přednostka doc. MUDr. E. Pařízková, CSc. Oddělení dětské chirurgie FN, Hradec Králové,2 primářka MUDr. M. Králová, PhD. Radiodiagnostická klinika FN a LF UK, Hradec Králové,3 přednosta doc. MUDr. P. Eliáš, CSc. |
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Summary:
The authors describe the case of a girl, several times examined during infancy and early toddler age for
recurrent vomiting and regurgitation. Although vomiting occurred with various frequency nearly from delivery,
the definitive diagnosis was made at the age of 16 months, during preoperative duodenoscopy. It was a congenital
duodenal intrinsic web, with a 5mm wide aperture, situated in the centre of the membrane. The proximal
duodenum near the stenosis was dilatated. The girl was treated surgically with discision and partial resection of
the intraluminal membrane by preservation of the papilla of Vater. The postoperative course was uneventful. She
has no problems of the gastrointestinal tract today.
Key words:
vomiting, toddler, congenital duodenal membrane, duodenal diverticulum, windsock web
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