Department of Pediatric Surgery, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.
Department of Pediatric Surgery, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India
BMJ Case Rep. 2020 Dec 22;13(12):e237307. doi: 10.1136/bcr-2020-237307.
One of the causes of congenital incomplete duodenal obstruction is the presence of congenital duodenal web with fenestration. This condition requires a high index of suspicion for an early and accurate diagnosis. We present an unusual presentation of duodenal web in a 6-year-old girl who presented with a 3-year history of cyclical and seasonal vomiting and abdominal pain. The diagnosis of congenital duodenal web with fenestration was made on contrast study and endoscopy and was treated surgically by incision of the web.
先天性不完全性十二指肠梗阻的原因之一是存在带有孔的先天性十二指肠隔膜。这种情况需要高度怀疑，以便及早准确诊断。我们介绍了一例 6 岁女孩的不典型病例，她有 3 年的周期性和季节性呕吐和腹痛病史。对比研究和内镜检查诊断为先天性带孔十二指肠隔膜，并通过隔膜切开术进行手术治疗。
