Duodenal web in an adult presenting with acute pancreatitis and acquired megaduodenum: Report of a case

D. Lytras, S. Olde Damink, C.J. Imber, A. Hatfield, Z. Amin, M. Malago*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Duodenal webs are a cause of intestinal atresia in infants and surgical repair is the established treatment of choice. However, the late-onset postoperative complications have not been adequately studied, especially in adults who have undergone surgical interventions as infants. This report describes the case of a 65-year-old female patient who presented with consecutive episodes of acute pancreatitis and a history of duodenal atresia repaired by a gastrojejunostomy in early infancy. Imaging studies revealed the presence of megaduodenum and suggested the possibility of impacted stones at the ampulla of Vater. An intact duodenal web at the level of papilla of Vater was revealed during surgery. Excision of the web, tapering of the duodenum and duodenojejunostomy was performed to relieve the obstructive cause of pancreatitis and to restore the intestinal continuity. At the 1-year follow-up, the patient is free of any symptoms, has no diet restrictions, and has increased her body weight as well.
Original languageEnglish
Pages (from-to)426-429
Number of pages4
JournalSurgery Today
Volume41
Issue number3
DOIs
Publication statusPublished - Mar 2011

Keywords

  • Duodenal atresia
  • Web
  • Megaduodenum
  • Tapering
  • Plication
  • FOLLOW-UP
  • ATRESIA

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