| A Case of Double Duodenal Web Associated with Peptic Ulcer |
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Sun Young Park, Jin Hwa Jung, Jeong Ho Lee, Jong Dae Jo |
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Department of Pediatrics, Maryknoll Hospital, Pusan, Korea |
| 소화성 궤양을 동반한 십이지장 이중 격막(Double Duodenal W eb) 1례 |
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박선영, 정진화, 이정호, 조종대 |
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부산 메리놀병원 소아과 |
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| Abstract |
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Duodenal web is a very rare congenital anomaly which usually causes clinical features
of intestinal obstruction from early infancy. It shows characteristic findings in the
radiologic contrast study or endoscopy. But in the cases with large openings, preoperative
diagnosis of web is difficult and often is overlooked until adolescence or adulthood
because of delayed onset of symptoms. Duodenal web is usually single near the ampulla
of Vater and may be multiple. Only a few cases of double duodenal webs have been
reported in the literature.
We experienced a case of double duodenal web in a 15 year-old girl who complained
of peptic ulcer-associated symptoms including epigastric pain and bloody stool. She had
suffered from longstanding abdominal symptoms, malnutrition and iron-deficiency anemia.
We propose that duodenal web should be kept in mind for patients with a history of
chronic gastrointestinal obstructive symptoms and atypical peptic ulcer. |
| Key Words:
Duodenal web, Peptic ulcer |
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