Abstract
Duodenal atresia is a frequent cause of intestinal obstruction in the newborn. Obstruction due to duodenal web is infrequent, but its location other than second part of duodenum is rare with only a few cases reported in the literature. We are reporting three patients where we found duodenal webs at unusual locations. In one neonate the web was located at third part of duodenum and in other two patients the web was present at duodeno-jejunal junction (DJ).
Highlights
Duodenal atresia (DA) is a common cause of neonatal intestinal obstruction. [1] Obstruction due to duodenal web is infrequent. [2] The second part of duodenum is commonly involved, while involvement other than second part of duodenum is rare. [2] We came across three patients with duodenal web at unusual location
Failure of recanalization shifted from the site of “embryological traffic jam” to unusual locations
[15] In case of incomplete obstruction, presentation may mimic gastroesophageal reflux disease (GERD), making the diagnosis difficult and delayed for months as seen in case 3. [5,6] a high index of suspicion for incomplete obstruction is required in a child presenting with repeated episodes of vomiting since birth
Summary
Rahul Gupta,1* Praveen Mathur, Sharanabasappa Gubbi, Pradeep Kumar Gupta, Ramendra Shukla, Anu Bhandari,. How to cite: Gupta R, Mathur P, Gubbi S, Gupta PK, Shukla R, Bhandari A. More distally located duodenal webs: a case series.
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