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Congenital double duodenal diaphragms in an infant

Shilpa Sharma1, Sukhjeet Singh2, Amita Sen2

  • 1Post Graduate Institute of Medical Education and Research, Dr. Ram ManoharLohia Hospital, New Delhi, India ; Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.

Journal of Indian Association of Pediatric Surgeons
|December 19, 2013
PubMed

Insights

Congenital duodenal diaphragms are rare obstructions causing failure to thrive in infants. Surgical excision of these duodenal webs is an effective treatment.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Congenital Abnormalities

Background:

  • Duodenal stenosis, often isolated, presents variably in infants due to partial obstruction.
  • Congenital duodenal diaphragms are uncommon causes of upper gastrointestinal obstruction.

Observation:

  • An infant presented with failure to thrive, indicative of a gastrointestinal issue.
  • Diagnostic evaluation revealed an unusual case of double duodenal diaphragms.

Findings:

  • Surgical intervention involved the excision of duodenal webs.
  • A double Heineke-Mikulicz closure technique was employed for repair.

Implications:

  • This case highlights the importance of considering rare congenital anomalies in infants with failure to thrive.
  • Successful surgical management of double duodenal diaphragms can restore normal gastrointestinal function.
  • Reviewing pertinent literature aids in understanding and managing such complex pediatric surgical cases.

Keywords:
Duodenal webdouble diaphragmsduodenal obstruction

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