Duodenal web in the differential diagnosis of persistent vomiting and malnutrition

Year 2013, Volume: 21 Issue: 3, - , 01.12.2013

Neslihan Karacabey Eylem Sevinç Serkan Türkuçar Zehra Vatansever Duran Arslan

https://doi.org/10.17940/endoskopi.74800

Abstract

Duodenal atresia and stenosis are a common cause of congenital bowel obstruction. Duodenal web is rare, and is a type of congenital duodenal obstruction that occurs by abnormal embryological foregut development. Children with duodenal web are frequently presented with persistent vomiting, abdominal distention and growth retardation. Barium passage graphy and endoscopy are helpful in the diagnosis. In this article, we report an infant with duodenal web who had been investigated because of persistent vomiting and growth retardation, and who was misdiagnosed as gastroesophageal reflux.

Keywords

Malnutrition, web, vomiting

İnatçı kusma ve malnütrisyonun ayırıcı tanısında duodenal web

Abstract

Duodenal atrezi ve darlık konjenital barsak tıkanıklığının sık görülen nedenlerindendir. Duodenal web (perde) ön barsağın anormal embriyolojik gelişimi nedeniyle oluşan nadir görülen konjenital duodenal darlık nedenlerinden birisidir. Çocuklarda inatçı kusma, karın şişkinliği ve büyüme geriliğine sık rastlanmaktadır. Tanıda baryumlu pasaj grafileri ve endoskopik inceleme yardımcı olabilir. Bu yazıda inatçı kusmaları ve büyüme geriliği olan, yanlışlıkla gastroözefageal reflü tanısı alan duodenal web tespit edilen bir olguyu sunduk.

Keywords

Malnütrisyon, perde, kusma

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