Maldonado G, Paredes C, Cedeño H, Salcedo I M, Sanchez M I, Fabre E, Astudillo M V, Gonzalez J
Department of Pediatric, Universidad Espíritu Santo, Samborondón, Ecuador.
Department of General Surgery, Hospital de Niños Dr. Roberto Gilbert Elizalde, Guayaquil, Ecuador.
Oxf Med Case Reports. 2017 Dec 29;2017(12):omx071. doi: 10.1093/omcr/omx071. eCollection 2017 Dec.
One of the causes of congenital incomplete duodenal obstruction is the presence of duodenal membranes. This condition requires a high index of suspicion for an early and accurate diagnosis. We present two cases of duodenal obstruction with initial diagnosis of foreign bodies that were surgically intervened and where incomplete duodenal membranes were an incidental finding. The clinical course of these patients had a different pattern than expected and thus, it is imperative to use a multidisciplinary approach in this group of patients and separate them from other subtypes of duodenal obstruction.
先天性十二指肠不完全梗阻的病因之一是十二指肠膜的存在。这种情况需要高度怀疑以便早期准确诊断。我们报告两例十二指肠梗阻患者,最初诊断为异物,接受了手术干预,术中意外发现不完全十二指肠膜。这些患者的临床病程与预期不同,因此,对这类患者必须采用多学科方法,并将他们与其他十二指肠梗阻亚型区分开来。