1. Congenital duodenal stenosis. The duodenal cervix sign.
- Author
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Halko M, LoPresti PA, Patel HD, Chawla S, and Marzulli V
- Subjects
- Adult, Age Factors, Celiac Artery abnormalities, Child, Duodenal Obstruction complications, Duodenal Obstruction surgery, Duodenum diagnostic imaging, Duodenum surgery, Humans, Jejunum surgery, Male, Pancreatitis diagnostic imaging, Radiography, Duodenal Obstruction congenital, Pancreatitis complications
- Abstract
A case of congenital duodenal stenosis is reported complicated by recurrent pancreatitis. The diagnosis was not initially entertained because of the pancreatitis. The radiographic appearance on gastrointestinal series was unusual for pancreatitis. The finding of an anomalous celiac axis on arteriography suggested the possibility of other congenital anomalies. The diagnosis of congenital duodenal stenosis was confirmed at laparotomy. The obstruction was relieved with a duodenojejunostomy. Two year follow-up reveals the patient to be asymptomatic without recurrence of pancreatitis. This is the first endoscopic report of this lesion and the presence of the duodenal cervix sign should suggest the diagnosis of congenital duodenal stenosis.
- Published
- 1978