Advances in pediatric surgery

Korean Association of Pediatric Surgeons (대한소아외과학회)
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Congenital Duodenal Web Associated with a Foreign Body (Go Stone) in a 10-Year-Old Girl

10세 여아에서 발견된 선천성 십이지장 격막 1예

  • Park, Woo-Hyun (Division of Pediatric Surgery, Department of Surgery, Keimyung University Dongsan Medical Center) ;
  • Choi, Soon-Ok (Division of Pediatric Surgery, Department of Surgery, Keimyung University Dongsan Medical Center) ;
  • Hwang, Jin-Bok (Department of Pediatrics, Keimyung University Dongsan Medical Center)
  • 박우현 (계명대학교 동산의료원 소아외과) ;
  • 최순옥 (계명대학교 동산의료원 소아외과) ;
  • 황진복 (계명대학교 동산의료원 소아과)
  • Published : 2005.12.31
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Abstract

Chronic duodenal obstruction related to a congenital web is a rare anomaly, and is sometimes difficult to diagnose preoperatively. A case of partial duodenal obstruction by a foreign body in a 10-year-old girl with a congenital duodenal web is presented. She had a year history of intermittent epigastric discomfort without nausea, vomiting or growth retardation. Upper gastrointestinal series and gastroduodenoscopy disclosed a perforated web in the 2nd portion of the duodenum and a dark go stone just proximal to the web. The web was partly excised through a longitudinal duodenotomy crossing over the web. The Ampulla of Vater was located at 7 o'clock on the posterior surface of the duodenal web and was preserved. The duodenum was closed in transverse fashion. In cases of a longstanding duodenal foreign body, a congenital web should be considered.

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