Vomiting and food refusal causing failure to thrive in a 2 year old: an unusual and late manifestation of congenital duodenal web

Sarkar, Shruti; Apte, Ashwin; Sarkar, N. R.; Sarkar, Debansu; Longia, Sheela

doi:10.1136/bcr.01.2011.3779

Cited by 17 publications

(17 citation statements)

References 10 publications

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“…Presentation with hematemesis has been reported [4]. Failure to thrive during weaning period may unmask the underlying partial obstruction as happened in our case [ 5]. The pitfalls in the diagnosis of partial duodenal obstructions have been described by previous authors [6][7][8][9][10].…”

Section: Discussionmentioning

confidence: 54%

Distal duodenal stenosis in Down's syndrome - a rare challenge

Patel¹,

Philip²

2017

JPSS

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We present a case of distal duodenal stenosis without a wind sock deformity in a Down's syndrome presenting with non-bilious vomiting, constipation and bilious aspirates simulating Hirschsprung's disease. Despite high index of suspicion and actively looking for associated congenital duodenal obstruction it eluded detection. The plain film and rectal biopsy in neonatal period were normal. It was the upper gastrointestinal study which helped in diagnosis. At exploration, distal duodenal stenosis without wind sock deformity was identified. Duodeno-jejunostomy was curative.

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Section: Discussionmentioning

confidence: 54%

Distal duodenal stenosis in Down's syndrome - a rare challenge

Patel¹,

Philip²

2017

JPSS

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“…Existen casos reportados de membranas duodenales en pacientes de 5, 6, 8 y 19 meses (21-23) casos en adultos son muy infrecuentes (24).…”

Section: Discussionunclassified

Membranas Duodenales: Diagnósticos tardíos evidenciados por cuerpos extraños

Cevallos

Velarde

Dávila

et al. 2017

Pediatr

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Aceptado el 5 de octubre de 2016 Palabras clave:Membrana duodenal cuerpos extraños R E S U M E N Una de las causas de obstrucción duodenal congénita incompleta es la presencia de membranas duodenales, cuyo diagnóstico oportuno y preciso requiere un alto grado de sospecha.Presentamos dos casos de obstrucción duodenal con diagnóstico inicial de presencia de cuerpos extraños, razón por la cual los pacientes fueron sometidos a una intervención quirúrgica en la que se les encontraron membranas duodenales incompletas. La evolución clínica de estos pacientes tuvo un patrón distinto a lo esperado. Por esta razón, consideramos necesario abordar a este grupo de pacientes con un método multidisciplinar, distinto de aquel con que se procede en el caso de otros subtipos de obstrucciones duodenales. Duodenal Membranes: Late diagnoses evidenced by foreign bodies A B S T R A C TOne of the causes of congenital incomplete duodenal obstruction is the presence of duodenal membranes, which requires a high degree of suspicion for a timely and accurate diagnosis. We present two cases of duodenal obstruction with an initial diagnosis of foreign bodies, reason why the patients underwent a surgery in which incomplete duodenal membranes were detected. The clinical course of these patients displayed different patterns than expected. For this reason, we consider imperative to address this group of patients with a multidisciplinary method, different from that with which it is proceeded in the case of other subtypes of duodenal obstruction.

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“…A windsock deformity is usually an isolated anomaly, most frequently located between the first and second part of the duodenum in 85%-90% of cases 1,3 . Only 10% of cases were combined with congenital disorders such as Down's syndrome, Situs Inversus, congenital heart disease, annular pancreas or intestinal malrotation 4,5 . Such pathology presenting beyond the age of infancy has rarely been reported 6 .…”

Section: Discussionmentioning

confidence: 99%