Delayed Diagnosis of Congenital Duodenal Stenosis in a 16-Year-Old Girl.

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL Case Reports in Medicine Pub Date : 2024-05-04 eCollection Date: 2024-01-01 DOI:10.1155/2024/1070253
Virtut Velmishi, Dritan Alushani, Ermira Dervishi, Saimir Heta, Spiro Sila, Paskal Cullufi
{"title":"Delayed Diagnosis of Congenital Duodenal Stenosis in a 16-Year-Old Girl.","authors":"Virtut Velmishi, Dritan Alushani, Ermira Dervishi, Saimir Heta, Spiro Sila, Paskal Cullufi","doi":"10.1155/2024/1070253","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Duodenal atresia or stenosis are different degrees of the same abnormality. They usually occur at the level of the ampulla of Vater and are thought to be an embryologic defect during the development of the foregut, leading to abnormal recanalization. Complete duodenal atresia is usually symptomatic in the early neonatal period, while partial obstruction (web, stenosis) may have a late presentation and a more challenging diagnosis such as in our case. <i>Case Presentation</i>. The patient, a 16-year-old girl, presented with abdominal pain, recurrent vomiting, and growth failure. An upper GI study with barium showed an image compatible with gastroptosis. Further diagnostic procedures confirmed a rare finding such as congenital duodenal stenosis. She underwent surgical intervention, and the recovery period was uneventful.</p><p><strong>Conclusion: </strong>Gastroptosis is not diagnostic for a particular disease. This rare radiological finding in children may obscure uncommon diagnosis, such as congenital duodenal stenosis, which can present a diagnostic challenge beyond early childhood.</p>","PeriodicalId":9627,"journal":{"name":"Case Reports in Medicine","volume":"2024 ","pages":"1070253"},"PeriodicalIF":0.8000,"publicationDate":"2024-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11088463/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Case Reports in Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1155/2024/1070253","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Duodenal atresia or stenosis are different degrees of the same abnormality. They usually occur at the level of the ampulla of Vater and are thought to be an embryologic defect during the development of the foregut, leading to abnormal recanalization. Complete duodenal atresia is usually symptomatic in the early neonatal period, while partial obstruction (web, stenosis) may have a late presentation and a more challenging diagnosis such as in our case. Case Presentation. The patient, a 16-year-old girl, presented with abdominal pain, recurrent vomiting, and growth failure. An upper GI study with barium showed an image compatible with gastroptosis. Further diagnostic procedures confirmed a rare finding such as congenital duodenal stenosis. She underwent surgical intervention, and the recovery period was uneventful.

Conclusion: Gastroptosis is not diagnostic for a particular disease. This rare radiological finding in children may obscure uncommon diagnosis, such as congenital duodenal stenosis, which can present a diagnostic challenge beyond early childhood.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
一名 16 岁女孩先天性十二指肠狭窄的延迟诊断。
背景:十二指肠闭锁或狭窄是同一种异常的不同程度表现。它们通常发生在瓦特(Vater)安瓿水平,被认为是前肠发育过程中的胚胎缺陷,导致再狭窄异常。完全性十二指肠闭锁通常在新生儿早期就会出现症状,而部分性梗阻(蹼状、狭窄)则可能出现得较晚,诊断起来更具挑战性,就像我们的病例一样。病例介绍。患者是一名16岁的女孩,因腹痛、反复呕吐和发育不良而就诊。上消化道钡餐检查显示与胃下垂相符。进一步的诊断程序证实了先天性十二指肠狭窄这一罕见病症。她接受了手术治疗,术后恢复顺利:结论:胃下垂不能诊断某种疾病。结论:胃下垂并不能诊断某种疾病,这种罕见的儿童影像学发现可能会掩盖不常见的诊断,如先天性十二指肠狭窄,这可能会给幼儿期以后的诊断带来挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
Case Reports in Medicine
Case Reports in Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
1.70
自引率
0.00%
发文量
53
审稿时长
13 weeks
期刊最新文献
Honey as an Alternative Dressing in Post-Palatoplasty-Two Case Reports. Renal Cell Carcinoma Masquerading as Acute Upper Gastrointestinal Bleeding. Case of T-B+NK+ X-Linked Severe Combined Immunodeficiency Disease. Case Study: Analyzing CFTR Mutations and SNPs in Pulmonary Fibrosis Patients with Unclear Symptoms. Tuberculosis Meningitis in a 9-Month-Old Girl during the COVID-19 Pandemic.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1