Revista Biomédica Revisada Por Pares
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Palabras clave: duodenal obstruction, fenestrated duodenal membrane, congenital duodenal stenosis
Duodenal atresia is the third cause of intrinsic intestinal obstruction in the neonatal period. Typical presentation includes early-onset vomiting of gastric or bilious content, abdominal distension and poor weight gain. If the obstruction is incomplete, as in a perforated duodenal diaphragm, presenting symptoms tend to appear later and be nonspecific, so diagnosis is usually delayed. We present the case of a 9-year-old girl with a history of biliary postprandial vomiting from the infancy period, without any impact on the nutritional status, managed symptomatically. At two years of age, an upper digestive endoscopy was performed, which was frustrated by an abundance of gastric contents. She is again studied at nine years of age with contrasting upper digestive tract and upper digestive endoscopy, which suggest the diagnosis of fenestrated duodenal membrane. Duodeno-jejunum anastomosis is performed in Roux-en-Y, with a good postoperative outcome.
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Duodenal atresia is the third cause of intrinsic intestinal obstruction in the neonatal period. Typical presentation includes early-onset vomiting of gastric or bilious content, abdominal distension and poor weight gain. If the obstruction is incomplete, as in a perforated duodenal diaphragm, presenting symptoms tend to appear later and be nonspecific, so diagnosis is usually delayed. We present the case of a 9-year-old girl with a history of biliary postprandial vomiting from the infancy period, without any impact on the nutritional status, managed symptomatically. At two years of age, an upper digestive endoscopy was performed, which was frustrated by an abundance of gastric contents. She is again studied at nine years of age with contrasting upper digestive tract and upper digestive endoscopy, which suggest the diagnosis of fenestrated duodenal membrane. Duodeno-jejunum anastomosis is performed in Roux-en-Y, with a good postoperative outcome.
Autores:
Andrea Barrueto Barrera[1], Sofia Santelices Baeza[1], Francisco Miranda Labra[1], David Schnettler Rodríguez[1,2]
Citación: Barrueto Barrera A, Santelices Baeza S, Miranda Labra F, Schnettler Rodríguez D. Duodenal diaphragm diagnosis in a school-aged child and minimally invasive treatment: case report. Medwave 2017 Ene-Feb;17(1):e6859 doi: 10.5867/medwave.2017.01.6859
Fecha de envío: 18/11/2016
Fecha de aceptación: 11/1/2017
Fecha de publicación: 31/1/2017
Origen: no solicitado
Tipo de revisión: con revisión por dos pares revisores externos, a doble ciego
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