Congenital Duodenal Web in a Young Adult.
- Author:
Hwan Hyo LEE
1
;
Hyung Guk KIM
;
Young Yuk YOON
Author Information
1. Department of Surgery, Armed Forces Nonsan General Hospital, Nonsan, Korea. korbrain@lycos.co.kr
- Publication Type:Case Report
- Keywords:
Congenital duodenal web;
Windsock deformity
- MeSH:
Abdomen;
Adult;
Ampulla of Vater;
Barium;
Congenital Abnormalities;
Dilatation;
Duodenum;
Humans;
Nausea;
Ulcer;
Ultrasonography;
Young Adult*
- From:Journal of the Korean Surgical Society
2003;64(4):343-347
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Congenital duodenal web in adult life is an extremely rare condition, which results from an incomplete recanalization of the duodenum during early embryologic development. We report a case of congenital duodenal web in a 23-year-old man who complained of postprandial epigastric pain and fullness, as well as nausea since childhood. The plain abdomen showed a double-bubble sign. The UGI study showed a marked dilatation of the proximal duodenum and a delayed passage of barium into the third portion of the duodenum. Abdominal ultrasonography and CT revealed a marked dilatation of the proximal duodenum and a duodenal web with windsock deformity, which originated from the ampulla of Vater and extended to the third portion of the duodenum. A winsock web with a 0.9 cm eccentric aperture and a healed ulcer proximal to the ampulla of Vater were observed during a longitudinal duodenotomy. The web was excised circumferentially and the duodenum was closed transversely in a Heineke-Mikulicz fashion.
