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Congenital duodenal diaphragm and enteroliths: A Unique complication

Nisar Ahmad Bhat1

  • 1Department of Paediatric Surgery, Sheri Kashmir Institute of Medical Sciences, Srinagar, Kashmir, India.

Journal of Indian Association of Pediatric Surgeons
|April 27, 2010
PubMed

Insights

A rare duodenal diaphragm with a wind-sock anomaly caused acute duodenal obstruction in a child. Multiple pigmented stones completely blocked the duodenum, requiring intervention.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Congenital Abnormalities

Background:

  • Duodenal diaphragm (DD) is a rare congenital anomaly causing upper gastrointestinal obstruction.
  • The "wind-sock" anomaly is an extreme form of DD, characterized by a dilated distal pouch.

Observation:

  • A 6-year-old male presented with symptoms of acute duodenal obstruction.
  • Physical examination revealed signs consistent with a complete blockage of the duodenum.

Findings:

  • Endoscopic and imaging studies confirmed the presence of a duodenal diaphragm with a wind-sock configuration.
  • Multiple pigmented stones were identified as the obstructing agent within the duodenal lumen.

Implications:

  • This case highlights the importance of considering rare congenital anomalies in pediatric duodenal obstruction.
  • Prompt diagnosis and management are crucial to prevent complications associated with complete bowel obstruction.

Keywords:
Bile stonesduodenal diaphragmintestinal obstruction

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