Published in:
01-04-2004 | Case Report
Late presentation of a duodenal web in a patient with situs inversus and apple peel jejunal atresia
Authors:
M. G. Peetsold, S. Ekkelkamp, H. A. Heij
Published in:
Pediatric Surgery International
|
Issue 4/2004
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Abstract
A 16-year-old girl presented with signs of proximal intestinal obstruction. In the neonatal period, surgical correction of an apple peel atresia had been performed, and she also had a situs inversus abdominalis. Revision of the anastomosis had been done when she was 3 years old. Contrast studies apparently again showed a stricture of the anastomosis, which was treated by stricturoplasty. Because of persistent obstruction, reexploration was done and revealed a duodenal membrane. Anastomotic strictures are very rare several years after the primary operation, so other causes of obstruction should be sought.