젊은 성인에서 선천성 십이지장격막에 의한 십이지장 폐쇄
Congenital Duodenal Web in a Young Adult
이환효, 김형국, 윤영욱,
소속 상세정보
이환효 ( Lee Hwan-Hyo )
국군논산병원 외과
김형국 ( Kim Hyung-Guk )
국군논산병원 외과
윤영욱 ( Yoon Young-Yuk )
국군논산병원 외과
KMID : 0371320030640040343
Abstract
Congenital duodenal web in adult life is an extremely rare condition, which results from an incomplete recanalization of the duodenum during early embryologic development. We report a case of congenital duodenal web in a 23-year-old man who complained of postprandial epigastric pain and fullness, as well as nausea since childhood. The plain abdomen showed a double-bubble sign. The UGI study showed a marked dilatation of the proximal duodenum and a delayed passage of barium into the third portion of the duodenum. Abdominal ultrasonography and CT revealed a marked dilatation of the proximal duodenum and a duodenal web with windsock deformity, which originated from the ampulla of Vater and xtended to the third portion of the duodenum. A winsock web with a 0.9 cm eccentric aperture and a healed ulcer roximal to the ampulla of Vater were observed during a longitudinal duodenotomy. The web was excised ircumferentially and the duodenum was closed transversely in a Heineke-Mikulicz fashion.
키워드
선천성 십이지장격막;풍향계변형
Congenital duodenal web;Windsock deformity
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