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Published in: Clinical Journal of Gastroenterology 3/2013

01-06-2013 | Case Report

Congenital duodenal diaphragm in an adult masquerading as superior mesenteric artery syndrome

Authors: Sanjay Marwah, Jai Prakash Gurawalia, Rohit Sagu, Nisha Marwah

Published in: Clinical Journal of Gastroenterology | Issue 3/2013

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Abstract

Persistent congenital diaphragm in the second part of the duodenum may rarely present in adults with features of upper gastro-intestinal obstruction. This possibility is often not considered in adults due to delayed onset of symptoms. One such case is reported in a middle aged male who was diagnosed preoperatively with superior mesenteric artery syndrome. However, on exploration, the duodenal diaphragm was found to be the cause of intestinal obstruction that was managed successfully. This rare clinical entity should be kept as a possibility while dealing with cases of duodenal obstruction in adults so as to avoid missed diagnosis and mismanagement.
Literature
1.
go back to reference Cregan P, Hollinshead J, Smith R, Gillett D. Congenital duodenal diaphragm in an adult. Aust N Z J Surg. 1981;51:74–6.PubMedCrossRef Cregan P, Hollinshead J, Smith R, Gillett D. Congenital duodenal diaphragm in an adult. Aust N Z J Surg. 1981;51:74–6.PubMedCrossRef
2.
go back to reference Norman CH, Pacis AB. Congenital duodenal web in an adult. J Natl Med Assoc. 1978;70:797–8.PubMed Norman CH, Pacis AB. Congenital duodenal web in an adult. J Natl Med Assoc. 1978;70:797–8.PubMed
3.
4.
go back to reference Cooperman AM, Adachi M, Rankin GB, Sivak M. Congenital duodenal diaphragms in adults: a delayed cause of intestinal obstruction. Ann Surg. 1975;182:739–42.PubMedCrossRef Cooperman AM, Adachi M, Rankin GB, Sivak M. Congenital duodenal diaphragms in adults: a delayed cause of intestinal obstruction. Ann Surg. 1975;182:739–42.PubMedCrossRef
5.
go back to reference Barakat M. Congenital diaphragmatic occlusion of the duodenum. Br J Clin Pract. 1970;24:256.PubMed Barakat M. Congenital diaphragmatic occlusion of the duodenum. Br J Clin Pract. 1970;24:256.PubMed
6.
7.
8.
go back to reference Lehur PA, Poisson J, Lamontagne L, Haddad H. Congenital diaphragm of the duodenum in an adult: a case report. Can J Surg. 1983;26:559–60.PubMed Lehur PA, Poisson J, Lamontagne L, Haddad H. Congenital diaphragm of the duodenum in an adult: a case report. Can J Surg. 1983;26:559–60.PubMed
9.
go back to reference Bisset RAL, Khan AN, Sabih D. Differential diagnosis in abdominal ultrasound:Duodenum. 3rd ed. Noida (India): Elsevier; 2008. p 222–225. Bisset RAL, Khan AN, Sabih D. Differential diagnosis in abdominal ultrasound:Duodenum. 3rd ed. Noida (India): Elsevier; 2008. p 222–225.
10.
go back to reference Gencosmanoglu R, Inceoglu R, Baysal C, Akansel S, Tozun N. Bouveret’s syndrome complicated by a distal gallstone ileus. World J Gastroenterol. 2003;9:2873–5.PubMed Gencosmanoglu R, Inceoglu R, Baysal C, Akansel S, Tozun N. Bouveret’s syndrome complicated by a distal gallstone ileus. World J Gastroenterol. 2003;9:2873–5.PubMed
11.
go back to reference Kim JH, Chang JH, Nam SM, Lee MJ, Maeng IH, Park JY, et al. Duodenal obstruction following acute pancreatitis caused by a large duodenal diverticular bezoar. World J Gastroenterol. 2012;18:5485–8.PubMedCrossRef Kim JH, Chang JH, Nam SM, Lee MJ, Maeng IH, Park JY, et al. Duodenal obstruction following acute pancreatitis caused by a large duodenal diverticular bezoar. World J Gastroenterol. 2012;18:5485–8.PubMedCrossRef
12.
go back to reference Kriplani AK, Kumar S, Sharma LK. Obstruction of the third part of the duodenum in tuberculosis. Postgrad Med J. 1986;62:879–80.PubMedCrossRef Kriplani AK, Kumar S, Sharma LK. Obstruction of the third part of the duodenum in tuberculosis. Postgrad Med J. 1986;62:879–80.PubMedCrossRef
13.
go back to reference Glover JR, Kellett MJ. Case report: duodenal obstruction due to hydrocalycosis. Clin Radiol. 1991;43:414–6.PubMedCrossRef Glover JR, Kellett MJ. Case report: duodenal obstruction due to hydrocalycosis. Clin Radiol. 1991;43:414–6.PubMedCrossRef
14.
go back to reference Gertsch PH, Mosimann R. Endoscopic laser treatment of a congenital duodenal diaphragm. Gastrointest Endosc. 1984;30:253–4.PubMedCrossRef Gertsch PH, Mosimann R. Endoscopic laser treatment of a congenital duodenal diaphragm. Gastrointest Endosc. 1984;30:253–4.PubMedCrossRef
15.
go back to reference Jex RK, Hughes RW. Endoscopic management of duodenal diaphragm in the adult. Gastrointest Endosc. 1986;32:416–9.PubMedCrossRef Jex RK, Hughes RW. Endoscopic management of duodenal diaphragm in the adult. Gastrointest Endosc. 1986;32:416–9.PubMedCrossRef
16.
go back to reference Smiley K, Perry M, McClelland R. Congenital duodenal diaphragm in the adult: review of the literature and report of a case. Ann Surg. 1967;65:632–6.CrossRef Smiley K, Perry M, McClelland R. Congenital duodenal diaphragm in the adult: review of the literature and report of a case. Ann Surg. 1967;65:632–6.CrossRef
Metadata
Title
Congenital duodenal diaphragm in an adult masquerading as superior mesenteric artery syndrome
Authors
Sanjay Marwah
Jai Prakash Gurawalia
Rohit Sagu
Nisha Marwah
Publication date
01-06-2013
Publisher
Springer Japan
Published in
Clinical Journal of Gastroenterology / Issue 3/2013
Print ISSN: 1865-7257
Electronic ISSN: 1865-7265
DOI
https://doi.org/10.1007/s12328-013-0382-1

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