Adult duodenal web associated with reflux esophagitis

Duodenal webs are the third leading cause of alimentary tract obstruction in infants. They rarely present in adulthood, with 47 cases reported in the literature. These seems to be an association with peptic ulcer disease. They most frequently occur in the vicinity of the ampulla of Vater. A case of adult duodenal web associated with peptic ulcer disease and reflux esophagitis is reported. This appears to be the second reported case associated with significant reflux esophagitis. Etiology, presentation, diagnosis, and management are discussed.