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KMID : 0371320030640040343
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Journal of the Korean Surgical Society
2003 Volume.64 No. 4 p.343 ~ p.347
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Congenital Duodenal Web in a Young Adult
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Lee Hwan-Hyo
Kim Hyung-Guk
Yoon Young-Yuk
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Abstract
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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.
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KEYWORD
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Congenital duodenal web, Windsock deformity
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