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Adult duodenal web

S Mani, A Maniar, R Rananavare

    Australasian Radiology
    |March 24, 1998
    PubMed
    Summary
    This summary is machine-generated.

    A duodenal web caused persistent vomiting in an 18-year-old male. Surgical excision of the duodenal web resolved symptoms, indicating it as an effective treatment for this rare congenital anomaly.

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    Area of Science:

    • Gastroenterology
    • Pediatric Surgery
    • Congenital Anomalies

    Background:

    • Duodenal webs are rare congenital anomalies causing upper gastrointestinal obstruction.
    • Symptoms can include vomiting, abdominal pain, and failure to thrive, often presenting in infancy but can be delayed.
    • Diagnosis typically involves imaging studies like barium swallow and endoscopy.

    Observation:

    • An 18-year-old male presented with chronic vomiting and epigastric fullness for 8 months.
    • Barium examination demonstrated an abrupt obstruction in the third part of the duodenum.
    • Surgical exploration via duodenotomy confirmed a duodenal web.

    Findings:

    • The duodenal web was successfully excised.
    • The patient experienced significant and immediate relief from his symptoms post-surgery.

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  • Follow-up at 6 months showed the patient remained asymptomatic.

    • Implications:

    • Duodenal webs, though rare, should be considered in the differential diagnosis of persistent upper gastrointestinal symptoms in adolescents and adults.
    • Surgical correction, such as web excision, is a definitive treatment with excellent outcomes.
    • Early diagnosis and intervention can prevent long-term complications associated with chronic obstruction.