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Case Reports
.2017 Dec 29;2017(12):omx071.
doi: 10.1093/omcr/omx071. eCollection 2017 Dec.

Duodenal membranes: a late diagnosis evidenced by foreign bodies

Affiliations
Case Reports

Duodenal membranes: a late diagnosis evidenced by foreign bodies

G Maldonado et al. Oxf Med Case Reports..

Abstract

One of the causes of congenital incomplete duodenal obstruction is the presence of duodenal membranes. This condition requires a high index of suspicion for an early and accurate diagnosis. We present two cases of duodenal obstruction with initial diagnosis of foreign bodies that were surgically intervened and where incomplete duodenal membranes were an incidental finding. The clinical course of these patients had a different pattern than expected and thus, it is imperative to use a multidisciplinary approach in this group of patients and separate them from other subtypes of duodenal obstruction.

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Figures

Figure 1:
Figure 1:
Evidence of megaestomach, which reaches the pelvic cavity, marked duodenal dilatation. This image is original.
Figure 2:
Figure 2:
Foreign bodies: seed, plastic accessory, metallic object and part of mechanical pencil (eraser).
Figure 3:
Figure 3:
Duodenal membrane exeresis. This image is original.
Figure 4:
Figure 4:
Plastic object of ~2 cm in diameter. This image is original.
Figure 5:
Figure 5:
Radiography of the colon by enema barite contrast, presence of rounded image radiopaque projected to gastric chamber (foreign body: coin). This image is original.
Figure 6:
Figure 6:
Abdomen radiography. This image is original.
Figure 7:
Figure 7:
Coin found in the third portion of the duodenum. This image is original.
Figure 8:
Figure 8:
Use of Nelaton No. 14 for the release of duodenal membrane. This image is original.
Figure 9:
Figure 9:
Incomplete duodenal membrane excision. This image is original.
Figure 10:
Figure 10:
Surgical finding: Intestinal neumatosis. This image is original.
See this image and copyright information in PMC

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