Congenital Membrane Causing Duodenal Obstruction and Malpositioning of the Descending Colon

A congenital membrane without intestinal malrotation is a rare cause of duodenal obstruction. Here we present an 11-year-old girl who had suffered from intermittent abdominal cramping pain and vomiting for more than 5 years. The image studies, including a plain abdomen roentgenogram and sonogram, sh...

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Main Authors: Chee-Chee Koh, Sheng-Hong Tseng, Chia-Chi Weng, Yun Chen
Format: Article
Language:English
Published: Elsevier 2013-08-01
Series:Pediatrics and Neonatology
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Online Access:http://www.sciencedirect.com/science/article/pii/S1875957212001702
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author Chee-Chee Koh
Sheng-Hong Tseng
Chia-Chi Weng
Yun Chen
author_facet Chee-Chee Koh
Sheng-Hong Tseng
Chia-Chi Weng
Yun Chen
author_sort Chee-Chee Koh
collection DOAJ
description A congenital membrane without intestinal malrotation is a rare cause of duodenal obstruction. Here we present an 11-year-old girl who had suffered from intermittent abdominal cramping pain and vomiting for more than 5 years. The image studies, including a plain abdomen roentgenogram and sonogram, showed no definite diagnosis. The upper gastrointestinal series and small bowel series showed the contrast was static over the third portion of the duodenum and the descending colon pulled up toward the epigastric area. Laparoscopic exploration revealed a congenital membrane extending from the right-side paraduodenal peritoneum through the third portion of the duodenum to the descending colon, which had caused obstruction of the third portion of the duodenum and malpositioning of the descending colon. To the best of our knowledge, this is the first case report in the literature where a congenital membrane caused both duodenal obstruction and malpositioning of the descending colon.
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spelling doaj-art-2a6961d37c8e45a58cbad603d11c8d842025-08-20T02:04:02ZengElsevierPediatrics and Neonatology1875-95722013-08-0154427527710.1016/j.pedneo.2012.10.009Congenital Membrane Causing Duodenal Obstruction and Malpositioning of the Descending ColonChee-Chee Koh0Sheng-Hong Tseng1Chia-Chi Weng2Yun Chen3Division of Pediatric Surgery, Department of Surgery, Far Eastern Memorial Hospital, Pan-Chiao, New Taipei 220, TaiwanDepartment of Surgery, National Taiwan University Hospital and National Taiwan University, College of Medicine, Taipei 100, TaiwanDivision of Pediatric Surgery, Department of Surgery, Far Eastern Memorial Hospital, Pan-Chiao, New Taipei 220, TaiwanDivision of Pediatric Surgery, Department of Surgery, Far Eastern Memorial Hospital, Pan-Chiao, New Taipei 220, TaiwanA congenital membrane without intestinal malrotation is a rare cause of duodenal obstruction. Here we present an 11-year-old girl who had suffered from intermittent abdominal cramping pain and vomiting for more than 5 years. The image studies, including a plain abdomen roentgenogram and sonogram, showed no definite diagnosis. The upper gastrointestinal series and small bowel series showed the contrast was static over the third portion of the duodenum and the descending colon pulled up toward the epigastric area. Laparoscopic exploration revealed a congenital membrane extending from the right-side paraduodenal peritoneum through the third portion of the duodenum to the descending colon, which had caused obstruction of the third portion of the duodenum and malpositioning of the descending colon. To the best of our knowledge, this is the first case report in the literature where a congenital membrane caused both duodenal obstruction and malpositioning of the descending colon.http://www.sciencedirect.com/science/article/pii/S1875957212001702congenital membraneduodenal obstructionlaparoscopic surgerymalpositioning of the descending colon
spellingShingle Chee-Chee Koh
Sheng-Hong Tseng
Chia-Chi Weng
Yun Chen
Congenital Membrane Causing Duodenal Obstruction and Malpositioning of the Descending Colon
Pediatrics and Neonatology
congenital membrane
duodenal obstruction
laparoscopic surgery
malpositioning of the descending colon
title Congenital Membrane Causing Duodenal Obstruction and Malpositioning of the Descending Colon
title_full Congenital Membrane Causing Duodenal Obstruction and Malpositioning of the Descending Colon
title_fullStr Congenital Membrane Causing Duodenal Obstruction and Malpositioning of the Descending Colon
title_full_unstemmed Congenital Membrane Causing Duodenal Obstruction and Malpositioning of the Descending Colon
title_short Congenital Membrane Causing Duodenal Obstruction and Malpositioning of the Descending Colon
title_sort congenital membrane causing duodenal obstruction and malpositioning of the descending colon
topic congenital membrane
duodenal obstruction
laparoscopic surgery
malpositioning of the descending colon
url http://www.sciencedirect.com/science/article/pii/S1875957212001702
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AT shenghongtseng congenitalmembranecausingduodenalobstructionandmalpositioningofthedescendingcolon
AT chiachiweng congenitalmembranecausingduodenalobstructionandmalpositioningofthedescendingcolon
AT yunchen congenitalmembranecausingduodenalobstructionandmalpositioningofthedescendingcolon