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
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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.

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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。
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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
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