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Duodenal obstruction from peritoneal (Ladd's) bands in a ten-year-old child
Annals of Emergency Medicine
|January 1, 1984
Insights
A ten-year-old child experienced chronic abdominal pain due to a duodenal obstruction caused by congenital bands. Surgical intervention successfully resolved the obstruction, offering a curative outcome.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Radiology
Background:
- Recurrent abdominal pain is a common pediatric complaint with diverse etiologies.
- Congenital duodenal obstructions, though rare, can present with significant morbidity.
Observation:
- A 10-year-old patient presented with a 3-year history of intermittent abdominal pain.
- Initial investigations were aimed at identifying the cause of chronic abdominal discomfort.
Findings:
- Radiographic imaging revealed a high-grade obstruction in the third portion of the duodenum.
- The obstruction was definitively attributed to congenital duodenal bands.
Implications:
- Congenital duodenal bands are a treatable cause of pediatric intestinal obstruction.
- Timely diagnosis through advanced imaging and surgical management leads to favorable outcomes.
Abstract:
We report a case of a ten-year-old child presenting with a three-year history of recurrent abdominal pain. The patient was found to have a high grade obstruction of the third portion of the duodenum secondary to congenital bands. The diagnosis was made radiographically and surgery was curative.