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Updated: Jun 26, 2026
04:14
Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Acquired duodenal obstruction in children
Jen-Hung Chien1, Tsyr-Yuh Ho, Lin Shih-Peng
1Department of Pediatrics, Zuoying Armed Forces General Hospital, Kaohsiung, Taiwan.
Pediatrics and Neonatology
|January 13, 2009
Summary
Pediatric duodenal obstruction can stem from rare causes like traumatic intramural hematoma or duodenal webs. Early diagnosis and intervention are crucial for favorable outcomes in children.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Disorders
- Trauma Surgery
Background:
- Acquired proximal gastrointestinal obstruction in children is uncommon.
- High index of suspicion is needed for early diagnosis of rare causes.
- Blunt abdominal trauma and duodenal webs are potential etiologies.
Observation:
- A 6-year-old boy presented with epigastric pain and bilious vomiting after bicycle handlebar trauma.
- Imaging revealed a large duodenojejunal hematoma, unresponsive to conservative management.
- A 2-year-old girl presented with acute proximal intestinal obstruction due to a duodenal web with a bezoar.
Findings:
- Laparoscopic hematoma evacuation was required for the traumatic case.
- Surgical removal of the bezoar and duodenoduodenostomy resolved the obstruction in the web case.
- Both children experienced successful recovery and resumed feeding.
Implications:
- Traumatic intramural hematoma and duodenal webs should be considered in pediatric proximal gastrointestinal obstruction.
- Prompt diagnosis and surgical intervention can lead to positive outcomes.
- This highlights the importance of considering rare conditions in pediatric surgical emergencies.
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