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Late and unusual onset of congenital duodenal obstruction due to combination lesion

P Gianino1, E Castagno, E C Grassino

  • 1Department of Pediatrics, University of Turin, Regina Margherita Children's Hospital, Turin, Italy. paola.gianino@unito.it

Minerva Pediatrica
|May 5, 2010
PubMed

Insights

Congenital duodenal obstruction, a common anomaly, typically presents in newborns. This case highlights an unusual presentation in an 8-month-old due to combined intrinsic and extrinsic lesions.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Medical Genetics

Background:

  • Duodenal obstruction is a frequent congenital anomaly.
  • It can result from intrinsic (atresia, web, stenosis) or extrinsic (malrotation, annular pancreas) factors.
  • Symptoms usually manifest in the first week of life with vomiting.

Observation:

  • A rare case of congenital duodenal obstruction is presented.
  • The patient is an 8-month-old female.
  • The obstruction resulted from a combination of intrinsic and extrinsic lesions, leading to atypical symptoms.

Findings:

  • The obstruction was caused by a unique combination of intrinsic and extrinsic duodenal lesions.
  • The patient exhibited symptoms atypical for congenital duodenal obstruction due to her age and the nature of the lesions.

Implications:

  • This case expands the understanding of congenital duodenal obstruction presentations.
  • It underscores the importance of considering combined lesions in atypical pediatric cases.
  • Highlights the need for tailored diagnostic and surgical approaches in complex congenital anomalies.

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