Duodenal diaphragm presenting in late adult life

Ross, James A.; Isaac, Amira; Lyon, DW

doi:10.1002/bjs.1800510821

Cited by 13 publications

(4 citation statements)

References 5 publications

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“…(Terry and Kilgrove, 1916). I n contrast, several cases of diaphragmatic obstruction of the duodenum in the adult are recorded (Hudson, 1961 ;Ross, Isaac, and Lyon, 1964;Dorken and Evans, 1967). Kreig (1937) stated that infants with duodenal stenosis rarely lived beyond 4 weeks, and found no case older than 3 years; however, Smith (1959) reported on 3 cases presenting at ages 5 and 7 years, and as mentioned previously, Terry and Kilgrove (1916) reported on a man who presented at age 24 years, and who had symptoms for 12 years.…”

Section: Compensatory Respiratory Acidosis With Anmentioning

confidence: 88%

Congenital duodenal stenosis in an adult presenting with severe electrolyte imbalance

Ward

Walrond

1971

Journal of British Surgery

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SUMMARYA man of 55 years presented with a Iz-year history of intermittent vomiting and in a semi-comatose state. H e had severe water and electrolyte disturbances, with a plasma chloride of 27 mEq./l., and a chloride deficit i n excess of 2500 mEq. ; he also had acid-base disturbances. Gastric acid studies suggested the possibility of the Zollinger-Ellison syndrome. At operation, the rare condition of congenital duodenal stenosis in an adult was found. H e made an uneventful recovery.CONGENITAL duodenal stenosis is rare, particularly when it presents in adults. T h e following report is of such a patient, who on investigation had some features suggestive of the Zollinger-Ellison syndrome. CASE REPORT Mr. B. L., a watchman aged 55 years, presented at the University Hospital in a semi-comatose state. The history was one of 12 years' intermittent abdominal pain and vomiting accompanied by visible peristalsis. The vomiting had got worse in the week preceding his admission.On examination, he was emaciated and responded only to painful stimuli. There was clinical evidence of severe body-fluid depletion, and his hands were in carpal spasm. His abdomen was distended and there was a succussion splash. Otherwise, no abnormality was detected on gcncral examination.A chest radiograph was normal and an abdominal radiograph showed features of pyloric obstruction, with a large stomach with fluid levels in the fundus and the pyloric antrum. Other investigations showed: haemoglobin, 13.5 g./Ioo ml. He was treated with gastric suction via nasogastric tube and intravenous replacement of fluid and electrolytes. During the first 24 hours there was no excretion of urine. (A catheter was placed in the bladder.) After this, he passed dilute urine. He regained consciousness and his carpal spasm disappeared within 24 hours of admission.Ten days after admission ascites and oedema of his legs were noted, but there was no other evidence of (Fig. I).Magnesium supplements were added to his regimc and within a few days the serum potassium and magnesium

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Section: Compensatory Respiratory Acidosis With Anmentioning

confidence: 88%

Congenital duodenal stenosis in an adult presenting with severe electrolyte imbalance

Ward

Walrond

1971

Journal of British Surgery

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“…31 2 DISCUSSION This is the third reported caseof doubleduodenal diaphragm. Previous reports have ddcumented this condition in adults (Manhas et alii, 1971;Parker et alii, 1976), and single diaphragms have been reported in adults (Smiley et alii, 1966;Ross and Isaac, 1964;Hudson, 1961) and in children (Kreig, 1937;Bill and Pope, 1954;Girvan and Stephens, 1974). This patient's history is typical of the condition, with recurrent symptoms of upper gastrointestinal obstruction and constipation manifesting late in life.…”

Section: Clinical Recordmentioning

confidence: 90%

Double Duodenal Diaphragm: Report of a Case

Reiner

Alp²,

O’Brien

et al. 1978

Australian and New Zealand Journal of Surgery

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“…Congenital diaphragmatic occlusion of the duodenum is an uncommon condition in the newborn and adult (Madden and McCann, 1956; Hudson, 1961; and Ross, Isaac and Lyon, 1964). The condition presents as a translucent membrane covered with a thin layer of epithelium set obliquely across the lumen of the bowel which may or may not be perforated.…”

mentioning

confidence: 99%

Congenital Diaphragmatic Occlusion of the Duodenum

Barakat

1970

Int J Clinical Practice

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Duodenal diaphragm presenting in late adult life

Cited by 13 publications

References 5 publications

Congenital duodenal stenosis in an adult presenting with severe electrolyte imbalance

Congenital duodenal stenosis in an adult presenting with severe electrolyte imbalance

Double Duodenal Diaphragm: Report of a Case

Congenital Diaphragmatic Occlusion of the Duodenum

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