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Is It Anorexia? Congenital Duodenal Web
Ilaria Lodola1,2, Giuseppe Dell'Anna1,3, Gianpaolo Balzano4,5
1Gastroenterology and Endoscopy Unit, IRCCS San Raffaele Hospital, Milan, Italy.
United European Gastroenterology Journal
|February 19, 2025
Summary
Congenital duodenal web (CDW) can cause intestinal obstruction in adults, often delaying diagnosis. This case shows how duodenal dilation can hide CDW, emphasizing its consideration in unexplained upper GI obstruction.
Area of Science:
- Gastroenterology
- Surgical Case Reports
- Medical Diagnostics
Background:
- Congenital duodenal web (CDW) is a rare congenital anomaly.
- It typically presents in infancy but can manifest in adulthood as a cause of proximal gastrointestinal obstruction.
Observation:
- A 26-year-old woman presented with chronic epigastric pain, vomiting, and weight loss.
- Radiological imaging showed prolonged compensatory duodenal dilation, masking typical signs of obstruction.
Findings:
- The diagnosis of congenital duodenal web was confirmed intraoperatively.
- Surgical intervention was successfully performed to manage the obstruction.
Implications:
- This case underscores the importance of considering congenital duodenal web in adult patients with unexplained proximal gastrointestinal obstruction.
- Advanced duodenal dilation can complicate preoperative diagnosis, necessitating a high index of suspicion.
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