Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2011 Apr 1:2011:bcr0120113779.
doi: 10.1136/bcr.01.2011.3779.

Vomiting and food refusal causing failure to thrive in a 2 year old: an unusual and late manifestation of congenital duodenal web

Shruti Sarkar  1 , Ashwin Apte, Nupur Sarkar, Dipankar Sarkar, Sheela Longia
Affiliations
Case Reports

Vomiting and food refusal causing failure to thrive in a 2 year old: an unusual and late manifestation of congenital duodenal web

Shruti Sarkar et al. BMJ Case Rep. .

Abstract

Congenital duodenal anomalies like atresia, stenosis and web or diaphragm commonly present in the neonatal age with signs of intestinal obstruction. Duodenal webs can sometimes present in early infancy and very rarely beyond infancy. The authors present a case of congenital duodenal web with a very small central aperture in a 2-year-old child with presenting features of persistent vomiting and resultant failure to thrive without any overt signs of intestinal obstruction.

PubMed Disclaimer

Conflict of interest statement

Competing interests None.

Figures

Figure 1
Figure 1
Grossly dilated stomach indicating gastric outlet obstruction.
Figure 2
Figure 2
Barium study shows dilated stomach, first and second part of duodenum. Small amount of barium is seen trickling into third part of duodenum.
Figure 3
Figure 3
Preoperative photograph showing duodenotomy has been done, the proximal tube is in stomach and second part of duodenum and the other tube passing through the duodenal web.
Figure 4
Figure 4
Excised duodenal web with a 6Fr feeding tube through the central hole.
See this image and copyright information in PMC

References

    1. Gianino P, Castagno E, Grassino EC, et al. Late and unusual onset of congenital duodenal obstruction due to combination lesion. Minerva Pediatr 2010;62:223–5 - PubMed
    1. Dalla Vecchia LK, Grosfeld JL, West KW, et al. Intestinal atresia and stenosis: a 25-year experience with 277 cases. Arch Surg 1998;133:490–6 - PubMed
    1. Ozturk H, Ozturk H, Gedik S, et al. A comprehensive analysis of 51 neonates with congenital intestinal atresia. Saudi Med J 2007;28:1050–4 - PubMed
    1. Ein SH, Palder SB, Filler RM. Babies with esophageal and duodenal atresia: a 30-year review of a multifaceted problem. J Pediatr Surg 2006;41:530–2 - PubMed
    1. Mustafawi AR, Hassan ME. Congenital duodenal obstruction in children: a decade’s experience. Eur J Pediatr Surg 2008;18:93–7 - PubMed

Publication types