Pediatric Gastroenterology, Hepatology & Nutrition

The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition (대한소아소화기영양학회)
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A Case of Duodenal Web Associated with Intestinal Malrotation

장이상회전이 동반된 십이지장 막양구조(Web) 1례

  • Kim, Jin-Suk (Department of Pediatrics, College of Medicine, Soonchunhyang University) ;
  • Lee, Jhoo-Taek (Department of Pediatrics, College of Medicine, Soonchunhyang University) ;
  • Park, Jae-Ock (Department of Pediatrics, College of Medicine, Soonchunhyang University) ;
  • Shin, Sang-Mann (Department of Pediatrics, College of Medicine, Soonchunhyang University)
  • 김진숙 (순천향대학교 의과대학 소아과학교실) ;
  • 이주택 (순천향대학교 의과대학 소아과학교실) ;
  • 박재옥 (순천향대학교 의과대학 소아과학교실) ;
  • 신상만 (순천향대학교 의과대학 소아과학교실)
  • Received : 1999.01.06
  • Accepted : 1999.02.22
  • Published : 1999.03.30
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Abstract

Duodenal web is an uncommon lesion that infrequently cause partial or complete intestinal obstruction. If the duonenal web is incomplete and only partially obstructs the duodenal lumen, the onset of symptoms may be delayed for years, and obstructive symptoms will be only minimal and intermittent. Congenital duodenal obstruction is occasionally associated with intestinal malrotation. We experienced a case of duodenal web associated with intestinal malrotation in a 9-year-old girl who had been suffered from intermittent projectile vomiting since birth without failure to thrive. The diagnosis was made by UGI series & abdominal CT. Patient remained asymptomatic after operation.

저자들은 출생 후부터 1년에 수 회 반복되는 담즙이 포함된 사출성 구토가 있었던 9세 여아에서 발견된 십이지장 격막과 동반된 장이상회전 1례를 경험하였기에 보고하는 바이며, 장의 완전 폐쇄가 아닌 경우에는 년장아에서도 선천성 장폐쇄의 소견이 나타날 수 있으므로 구토가 심하게 반복되는 경우에는 항상 주의깊게 감별진단해야 한다.

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