scholarly journals Annular Pancreas with a Duodenal Web: a Rare Presentation with Simultaneous Intrinsic and Extrinsic Duodenal Obstruction

2016 ◽  
Vol 21 (4) ◽  
pp. 199-201 ◽  
Author(s):  
Deepa Makhija ◽  
Hemanshi Shah ◽  
Vikrant Kumbhar ◽  
Kiran Khedkar
Keyword(s):  
Duodenal Obstruction ◽  
Annular Pancreas ◽  
Rare Presentation ◽  
Duodenal Web

scholarly journals Gastroduodenal Emphysema with Portal Venous Air due to Congenital Duodenal Web in a Child: A Case Report and Review of Literature

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Mihiri Chami Wettasinghe ◽  
Shanthini Rosairo ◽  
Samantha Kiriwattuduwa ◽  
Nuwan Darshana Wickramasinghe
Keyword(s):  
Duodenal Obstruction ◽  
Gastric Wall ◽  
Abdominal Distension ◽  
Duodenal Wall ◽  
Emergency Laparotomy ◽  
Contrast Study ◽  
Imaging Features ◽  
Rare Presentation ◽  
Duodenal Web ◽  
Portal Venous Air

Congenital duodenal web causing proximal duodenal obstruction leading to gastroduodenal emphysema is a very rare presentation in infancy. Due to persistent 
peristalsis against the duodenal membrane, there is progressive stretching of the duodenal web leading to windsock deformity. We describe a rare case of a child with gastroduodenal emphysema and portal venous air due to duodenal obstruction secondary to a duodenal web. An eighteen-month-old male child, who was under investigation for failure to thrive, presented with a history of persistent projectile vomiting and progressive abdominal distension for two days. The abdominal ultrasound scan revealed air within the portal vein and in the wall of the stomach. Plain X-ray abdomen confirmed the presence of gas in the gastric wall and in the proximal duodenal wall. Upper gastrointestinal contrast study revealed complete obstruction at the second part of the duodenum. The child underwent emergency laparotomy, which revealed a duodenal web as the cause of the duodenal obstruction. During the surgery, windsock deformity was noted. This case illustrates that although rare, proximal duodenal obstruction due to duodenal web may present in early childhood and that alarming imaging features such as gastric emphysema and portal venous air could be associated with benign conditions.

Congenital duodenal obstruction due to duodenal web with annular pancreas: A rarity

2017 ◽  
Vol 7 (4) ◽  
pp. 142
Author(s):  
AmitK Sinha ◽  
MdSohail Ahmad ◽  
Bindey Kumar ◽  
Prem Kumar
Keyword(s):  
Duodenal Obstruction ◽  
Annular Pancreas ◽  
Congenital Duodenal Obstruction ◽  
Duodenal Web

scholarly journals ANNULAR PANCREAS CAUSING DUODENAL OBSTRUCTION: A CASE REPORT

2016 ◽  
Vol 5 (05) ◽  
pp. 296-300
Author(s):  
Swish Kumar Singh ◽  
Dinesh Kumar Agrawal ◽  
Suganita Suganita ◽  
Singh G N ◽  
Amar Kumar Singh
Keyword(s):  
Case Report ◽  
Duodenal Obstruction ◽  
Annular Pancreas

scholarly journals Incidental Finding of Annular Pancreas in a Routine Cadaveric Dissection: Case Report

2019 ◽  
Vol 36 (04) ◽  
pp. 299-302
Author(s):  
Mythraeyee Prasad ◽  
Theresa Susan Kuriakose ◽  
Sipra Rout
Keyword(s):  
Congenital Anomaly ◽  
Case Report ◽  
Duodenal Obstruction ◽  
Clinical Symptoms ◽  
Incidental Finding ◽  
Age Groups ◽  
Annular Pancreas ◽  
Present Case Report ◽  
Rare Congenital Anomaly ◽  
Variable Presentation

AbstractAnnular pancreas is a rare congenital anomaly that results from the malrotation of the ventral pancreatic bud. The presentation of annular pancreas varies: it can be asymptomatic or present clinical symptoms of duodenal obstruction that can affect all age groups, from newborns to adults. In the present case report, we describe a complete type of annular pancreas at the level of the second part of the duodenum, which was an incidental finding in a prosected specimen. This anomaly has significant clinical relevance to clinicians and radiologists due to its variable presentation. The embryological, clinical and radiological aspects of this congenital anomaly are discussed in detail in the present article.

Delayed presentation of a congenital duodenal web managed successfully with incision of web

2020 ◽  
Vol 13 (12) ◽  
pp. e237307
Author(s):  
Mahendra Kumar Jangid ◽  
Reyaz Ahmad ◽  
Sujeet Pandre
Keyword(s):  
Abdominal Pain ◽  
Duodenal Obstruction ◽  
Accurate Diagnosis ◽  
Unusual Presentation ◽  
Contrast Study ◽  
Delayed Presentation ◽  
History Of ◽  
Duodenal Web ◽  
High Index Of Suspicion ◽  
The Web

One of the causes of congenital incomplete duodenal obstruction is the presence of congenital duodenal web with fenestration. This condition requires a high index of suspicion for an early and accurate diagnosis. We present an unusual presentation of duodenal web in a 6-year-old girl who presented with a 3-year history of cyclical and seasonal vomiting and abdominal pain. The diagnosis of congenital duodenal web with fenestration was made on contrast study and endoscopy and was treated surgically by incision of the web.

scholarly journals Annular Pancreas: A Rare Cause of Duodenal Obstruction in Adults

2010 ◽  
Vol 73 (2) ◽  
pp. 163-165 ◽  
Author(s):  
Devi Prasad Patra ◽  
Abhimanyu Basu ◽  
Amit Chanduka ◽  
Amit Roy
Keyword(s):  
Duodenal Obstruction ◽  
Annular Pancreas

scholarly journals Congenital Duodenal Obstruction in Neonates: Over 13 Years’ Experience from a Single Centre

2016 ◽  
Vol 5 (4) ◽  
pp. 50 ◽  
Author(s):  
Parveen Kumar ◽  
Chiranjiv Kumar ◽  
Prince Raj Pandey ◽  
Yogesh Kumar Sarin
Keyword(s):  
Birth Weight ◽  
Duodenal Obstruction ◽  
Down's Syndrome ◽  
Down’S Syndrome ◽  
Duodenal Atresia ◽  
P Value ◽  
Associated Anomalies ◽  
Congenital Duodenal Obstruction ◽  
Impact On Survival ◽  
Duodenal Web

Aim: To study the prevalence of associated anomalies with neonatal duodenal obstruction and factors impacting short-term survival.Material and methods: Records of 31 neonates with neonatal duodenal obstruction could be retrieved and analyzed for a 13.5-year-period (October 2003-May 2016). M:F ratio was 1.58:1. The mean birth weight was 2.15 kg; 12 patients were preterm. Etiologies included duodenal atresia (n=23), duodenal web (n=8) and malrotation of gut (n= 6).Results: Associated anomalies were seen in 19/31: Down’s syndrome (n=6), anorectal malformation (ARM) (n=5), annular pancreas (n=5), cardiac anomalies (n=4), esophageal atresia with trachea-esophageal fistula (EA with TEF) (n=3). Mortality in the series was 22.5%; 5 deaths and 2 patients left against medical advice in moribund state (hidden mortality). Mortality in associated anomalies group was 5/19; and 2/12 in the no anomalies group, though this difference was not statistically significant (p=0.676). Similarly, low birth weight (LBW) did not have impact on survival (p=0.639) but preterm status had highly significant p value (Conclusion: Duodenal atresia was the commonest cause of neonatal duodenal obstruction. Associated anomalies were noted in 61% patients, Down’s syndrome being the most frequent. These anomalies did not have any significant impact on the survival, nor did LBW. Preterm status had significant impact on prognosis.

scholarly journals Eosinophilic Ascites and Duodenal Obstruction in a Patient with Liver Cirrhosis

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Nasrollah Maleki ◽  
Mohammadreza Kalantar Hormozi ◽  
Mehrzad Bahtouee ◽  
Zahra Tavosi ◽  
Hamidreza Mosallai Pour ◽  
...  
Keyword(s):  
Liver Cirrhosis ◽  
Duodenal Obstruction ◽  
Gastrointestinal Endoscopy ◽  
Eosinophilic Gastroenteritis ◽  
Pathological Findings ◽  
Peripheral Eosinophilia ◽  
Rare Presentation ◽  
Bacterial Peritonitis ◽  
Eosinophilic Ascites ◽  
History Of

Eosinophilic gastroenteritis (EG) is a rare disease characterized by eosinophilic infiltration of portions of the gastrointestinal tract. Eosinophilic ascites is probably the most unusual and rare presentation of EG and is generally associated with the serosal form of EG. Hereby, we report a case of eosinophilic ascites with duodenal obstruction in a patient with liver cirrhosis. A 50-year-old woman was admitted to our hospital because of abdominal pain, nausea, bloating, and constipation. She had a history of laparotomy because of duodenal obstruction 2 years ago. Based on clinical, radiological, endoscopic, and pathological findings, and given the excluding the other causes of peripheral eosinophilia, the diagnosis of eosinophilic gastroenteritis along with liver cirrhosis and spontaneous bacterial peritonitis was established. Based on the findings of the present case, it is highly recommended that, in the patients presented with liver cirrhosis associated with peripheral blood or ascitic fluid eosinophilia, performing gastrointestinal endoscopy and biopsy can probably reveal this rare disorder of EG.

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