Delayed presentation of congenital intrinsic duodenal obstruction in children with non-bilious vomiting: a diagnostic dilemma

The duodenum is described as the most common site of intestinal obstruction, classically presenting with bilious vomiting. Of the various categories described, congenital duodenal webs are reported as a rare cause of duodenal obstruction. The clinical features may vary depending on the size and loca...

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Bibliographic Details
Main Authors: Kamal Nain Rattan (Author), Jasbir Singh (Author), Poonam Dalal (Author)
Format: Book
Published: Hygeia Press di Corridori Marinella, 2018-08-01T00:00:00Z.
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Summary:The duodenum is described as the most common site of intestinal obstruction, classically presenting with bilious vomiting. Of the various categories described, congenital duodenal webs are reported as a rare cause of duodenal obstruction. The clinical features may vary depending on the size and location of the duodenal web. We are reporting 5 pediatric patients with delayed presentation of congenital intrinsic (type 1) duodenal obstruction. All patients presented with recurrent non-bilious vomiting and were misdiagnosed as gastroenteritis in other centers. The diagnosis was confirmed with upper gastrointestinal tract contrast studies. The patients were managed successfully with surgical intervention.
Item Description:2281-0692
10.7363/070218