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Duodenum inversum mimicking mesenteric artery syndrome
F R Long1, K H Mutabagani, D A Caniano
1Department of Radiology, Columbus Children's Hospital, 700 Children's Drive Columbus, OH 43205, USA.
Pediatric Radiology
|July 23, 1999
Summary
Duodenum inversum, a rare duodenal anomaly, can cause obstructive symptoms and mimic other conditions like superior mesenteric artery syndrome. Surgical intervention can resolve these issues.
Area of Science:
- Gastroenterology
- Surgical Anatomy
Background:
- Duodenum inversum is a rare congenital anomaly of duodenal rotation and fixation.
- It is often overlooked during upper gastrointestinal contrast studies due to a normally positioned duodenojejunal junction.
Observation:
- This case highlights duodenum inversum presenting with symptoms mimicking superior mesenteric artery (SMA) syndrome.
- The anomaly's subtle presentation can lead to diagnostic challenges.
Findings:
- The study describes a specific case of duodenum inversum that mimicked SMA syndrome.
- Successful surgical therapy led to the resolution of obstructive gastrointestinal symptoms.
Implications:
- Accurate diagnosis of duodenum inversum is crucial for managing potential obstructive gastrointestinal symptoms.
- Recognizing this anomaly can prevent misdiagnosis and guide appropriate surgical treatment.