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Congenital duodenal diaphragm in an adult masquerading as superior mesenteric artery syndrome

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Abstract

Persistent congenital diaphragm in the second part of the duodenum may rarely present in adults with features of upper gastro-intestinal obstruction. This possibility is often not considered in adults due to delayed onset of symptoms. One such case is reported in a middle aged male who was diagnosed preoperatively with superior mesenteric artery syndrome. However, on exploration, the duodenal diaphragm was found to be the cause of intestinal obstruction that was managed successfully. This rare clinical entity should be kept as a possibility while dealing with cases of duodenal obstruction in adults so as to avoid missed diagnosis and mismanagement.

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Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Surgery, Post Graduate Institute of Medical Sciences, 2452 Sector I, HUDA, Rohtak, Haryana, India

    Sanjay Marwah, Jai Prakash Gurawalia & Rohit Sagu

  2. Department of Pathology, Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India

    Nisha Marwah

Authors
  1. Sanjay Marwah
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  2. Jai Prakash Gurawalia
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  3. Rohit Sagu
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  4. Nisha Marwah
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Correspondence to Sanjay Marwah.

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Marwah, S., Gurawalia, J.P., Sagu, R. et al. Congenital duodenal diaphragm in an adult masquerading as superior mesenteric artery syndrome. Clin J Gastroenterol 6, 217–220 (2013). https://doi.org/10.1007/s12328-013-0382-1

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  • DOI: https://doi.org/10.1007/s12328-013-0382-1

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