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Incidentally Diagnosed Duodenal Web in Infancy.
Taehan Yongsang Uihakhoe Chi
|October 14, 2022
Summary
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.
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