Late presentation of a duodenal web in a patient with situs inversus and apple peel jejunal atresia

Pediatric Surgery International
M G PeetsoldH A Heij

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.

Citations

May 1, 2008·Journal of Perinatology : Official Journal of the California Perinatal Association·T E Herman, M J Siegel
May 1, 2011·Asian Journal of Endoscopic Surgery·A Abhyankar, Z Mukhtar
Aug 28, 2019·BMJ Case Reports·Jyotsna M KirtaneVarshil Shah

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