Case Reports
doi: 10.1136/bcr.01.2011.3779.Vomiting and food refusal causing failure to thrive in a 2 year old: an unusual and late manifestation of congenital duodenal web
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- PMID:22700606
- PMCID: PMC3079475
- DOI: 10.1136/bcr.01.2011.3779
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Case Reports
Vomiting and food refusal causing failure to thrive in a 2 year old: an unusual and late manifestation of congenital duodenal web
Shruti Sarkar et al. BMJ Case Rep..
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Abstract
Congenital duodenal anomalies like atresia, stenosis and web or diaphragm commonly present in the neonatal age with signs of intestinal obstruction. Duodenal webs can sometimes present in early infancy and very rarely beyond infancy. The authors present a case of congenital duodenal web with a very small central aperture in a 2-year-old child with presenting features of persistent vomiting and resultant failure to thrive without any overt signs of intestinal obstruction.
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Figures
Grossly dilated stomach indicating gastric outlet obstruction.
Barium study shows dilated stomach, first and second part of duodenum. Small amount of barium is seen trickling into third part of duodenum.
Preoperative photograph showing duodenotomy has been done, the proximal tube is in stomach and second part of duodenum and the other tube passing through the duodenal web.
Excised duodenal web with a 6Fr feeding tube through the central hole.
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