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Incidentally Diagnosed Duodenal Web in Infancy

Suh Young Kim, Byoung Hee Han, Ki Young Park

    Taehan Yongsang Uihakhoe Chi
    |October 14, 2022
    PubMed

    Insights

    A duodenal web, an incomplete diaphragm, can cause bowel obstruction. This case highlights its incidental diagnosis in an infant presenting with a foreign body, emphasizing duodenal obstruction awareness.

    Area of Science:

    • Pediatric Surgery
    • Gastroenterology
    • Radiology

    Background:

    • Duodenal webs are congenital anomalies causing partial or complete duodenal obstruction.
    • Obstruction severity correlates with aperture size, influencing presentation age and imaging findings.

    Observation:

    • A 14-month-old boy presented with a foreign body ingestion.
    • A duodenal web was incidentally diagnosed during the workup.
    • Diagnostic modalities included abdominal radiography, upper GI study, and endoscopy.

    Findings:

    • Surgical findings confirmed the presence of a duodenal web.
    • The duodenal web caused a partial obstruction of the duodenal lumen.

    Implications:

    • Highlights the importance of considering duodenal obstruction in infants with foreign body ingestions.
    • Suggests evaluating the duodenum in cases of delayed foreign body discharge or unusual positioning on radiographs.
    • Underscores the utility of a multi-modality imaging approach for diagnosing duodenal webs.

    Keywords:
    DuodenumForeign BodiesUpper Gastrointestinal Tract

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