Marwah Sanjay, Gurawalia Jai Prakash, Sagu Rohit, Marwah Nisha
Department of Surgery, Post Graduate Institute of Medical Sciences, 2452 Sector I, HUDA, Rohtak, Haryana, India.
Department of Pathology, Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India.
Clin J Gastroenterol. 2013 Jun;6(3):217-20. doi: 10.1007/s12328-013-0382-1. Epub 2013 May 17.
Persistent congenital diaphragm in the second part of the duodenum may rarely present in adults with features of upper gastro-intestinal obstruction. This possibility is often not considered in adults due to delayed onset of symptoms. One such case is reported in a middle aged male who was diagnosed preoperatively with superior mesenteric artery syndrome. However, on exploration, the duodenal diaphragm was found to be the cause of intestinal obstruction that was managed successfully. This rare clinical entity should be kept as a possibility while dealing with cases of duodenal obstruction in adults so as to avoid missed diagnosis and mismanagement.
十二指肠第二部持续存在的先天性隔膜在成人中很少见，可表现为上消化道梗阻的特征。由于症状出现较晚，成人往往不会考虑到这种可能性。本文报道了一例中年男性病例，术前诊断为肠系膜上动脉综合征。然而，手术探查时发现十二指肠隔膜是肠梗阻的病因，并成功进行了处理。在处理成人十二指肠梗阻病例时，应考虑到这种罕见的临床情况，以避免漏诊和管理不当。
