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Duodenal web presenting with acute pancreatitis
N K Alizai1, J W Puntis, M D Stringer
1Department of Paediatric Surgery, Leeds General Infirmary and St. James's University Hospital, England.
Journal of Pediatric Surgery
|August 1, 1997
Summary
A rare fenestrated duodenal web, resembling a windsock, caused acute pancreatitis in an 8-year-old boy. Surgical removal of the web resolved the pancreatitis, leading to a full recovery without further symptoms.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Congenital Anomalies
Background:
- Duodenal webs are rare congenital anomalies that can cause gastrointestinal obstruction.
- Acute pancreatitis is an uncommon presentation of duodenal webs in children.
Observation:
- An 8-year-old boy presented with acute pancreatitis.
- Diagnostic imaging revealed a fenestrated duodenal web, described as a 'windsock' anomaly.
- Associated anomalies were also noted in the patient.
Findings:
- The patient underwent surgical intervention involving partial excision of the duodenal web and duodenoplasty.
- Histopathological examination confirmed the nature of the web.
Implications:
- This case highlights the importance of considering rare congenital anomalies in the differential diagnosis of pediatric acute pancreatitis.
- Successful surgical management of fenestrated duodenal webs can lead to complete resolution of symptoms and prevent recurrence.
- Further research into the embryology and long-term outcomes of duodenal webs is warranted.