Duodenal web

Case contributed by Dr Abdulmajid Bawazeer

Presentation

Recurrent epigastric pain and elevated pancreatic enzyme.

Patient Data

Age: 10 Years
Gender: Female
CT

Abdomen and pelvis

The second part of the duodenum shows intraluminal sac filled with contrast and gas causing focal expansion of that part. 

MRI

MRCP was advice for better evaluation for the pancreas and biliary tree.
NO signs of the annular pancreas or pancreatic divisum.

Case Discussion

Recurrent attack of epigastric pain with elevated pancreatic enzymes in this age group raises the concern of congenital anomaly. Both CT and the MRI illustrates an intraluminal membrane at the second portion of the duodenum, which gives the appearance of an "intraluminal diverticulum".

The features are those of duodenal web. This condition is usually seen in barium studies as a diverticulum filled first then the rest of duodenum.

 

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Case information

rID: 75052
Published: 25th Mar 2020
Last edited: 29th Mar 2020
Inclusion in quiz mode: Included

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