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KMID : 0359019950150030545
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Korean Journal of Gastrointestinal Endoscopy
1995 Volume.15 No. 3 p.545 ~ p.552
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A Case Report of Duodenal Diaphragm Misdiagnosed as a Bulimia
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이용주
이은경/노경빈/김윤련/최숙자/김용주
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Abstract
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Duodenal diaphragm is a rare congenital anomaly among the congenital duodenal obstrutions. Its symptom and sign usually appear since birth if obstruction is complete. The clinical manifestation of incompletely obstructive duodenal diaphragm are
intermittent vomiting, abdominal pain and poor weight gain. Diagnosis may be delayed in this case. Authors experienced a case of incomplete duodenal diaphragm with a central hole. A 29 months old girl presented failure to thrive, intermittent
episodes
of bloating, abdominal discomfort and occasional vomiting. The patients vomited every 10~14 days, then the abdominal pain and distention were relieved. She overate for about 10 days until the next projectile vomiting. The vomitus frequently
contained
food ingested several days previously. Plain x-ray films of abdomen showed marked gastric distention. Upper gastrointestinal series revealed marked distention of the duodenum with windsock configuration and radiolucent line at the third portion
of
the
duodenum. On gastroscopic examination, gastric bezoar impacting the pyloric canal and antrum was noted. At operation, we found mucosal membrane in the third portion of the duodenum and bezoar(Chinese cabbage) above the membrane. Side-to-side
duodeno-jejunostomy was performed and bezoar was removed. She was removed. She was discharged on the 13th postoperative day without any complication.
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KEYWORD
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