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[Duodenal diaphragm in children (two cases)]
A Wandaogo1, D Sano, T L Tapsoba
1Service de Chirurgie Générale et Digestive, Centre Hospitalier National Yalgado Ouédraogo, Ouagadougou, Burkina Faso.
Insights
Duodenal diaphragm, a rare cause of intestinal obstruction, presents with vomiting and epigastric distension in children. Surgical duodenal bypass offers an effective treatment, but associated anomalies require careful consideration.
Area of Science:
- Pediatric surgery
- Gastrointestinal disorders
Background:
- Duodenal diaphragm is an uncommon congenital anomaly causing intestinal obstruction.
- It requires prompt diagnosis and management in pediatric patients.
Observation:
- Two pediatric cases presented with vomiting of bile-stained material and epigastric distension.
- Radiographic imaging, including roentgenograms and sonograms, indicated the obstruction.
Findings:
- Duodenal bypass surgery was successfully performed in both cases.
- The surgical intervention proved effective in resolving the obstruction.
Implications:
- Associated congenital anomalies are common with duodenal diaphragms and can be severe.
- Early recognition and surgical intervention are crucial for favorable outcomes.
Abstract:
Duodenal diaphragm is a rare cause of intestinal obstruction. Two pediatric cases are reported in which vomiting of bile-stained material and distension of the epigastrium were the main clinical signs. Roentgenograms and sonograms were highly suggestive. Duodenal bypass was easy to perform and effective. Nevertheless, it must be kept in mind that associated anomalies are frequent and may be severe.