Duodenal Membrane in an Adult

Kim, J O; Ham, J S; Chang, J Y; Lee, Y H; Cho, Y D; Bong, H K; Cho, J Y; Kim, Y S; Lee, J S; Lee, M S; Hwang, S G; Shim, C S

Abstract

Duodenal obstruction is the third leading cause of intrinsic obstruction of the alimentary tract in the newborn, the other causes are imperforate anus and esophageal atresia. If the obstruction is incomplete, as with a fenestrated duodenal membrane, the presentation of the symptoms may be delayed and the diagnosis overlooked. And so they are rarely diagnosed in the adult. Diagnosis can be made by contrast duodenography but is more definitive with endoscopy. This is the first case report of a 21-year-old female with duodenal membrane, associated with incomplete rotation of intestine and uterus bicornis, diagnosed by hypotonic duodenography and endoscopy, preoperatively, and successfully treated with duodenoduodenostomy.