Abstract
We herein report what, to our knowledge, is only the fourth known case of segmental dilatation of the duodenum. Antenatal ultrasonography revealed an intraabdominal cyst in the fetus, but the exact location of the segmental dilatation was difficult to find preoperatively. Moreover, even using computed tomography, it was not possible to make a diagnosis prior to surgery. The anatomic characteristics of duodenal dilatation made it difficult to perform the usual resection techniques. In fact, the surgical procedure was different from the previously reported cases. We performed a partial resection of the duodenum followed by a tapering procedure to preserve the ampulla of Vater. The infant had an uneventful postoperative course, and sufficient growth and development has been achieved.
Similar content being viewed by others
References
Swenson O, Rathauser F. Segmental dilatation of the colon. A new entity Am J Surg 1959;97:734–738.
Cuming T, Asif M, Babu R, Kalidasan V. Congenital segmental dilatation of the duodenum differential diagnosis for an antenatally-diagnosed intra-abdominal cyst. Eur J Pediatr Surg 2001;11:133–135.
Rovira J, Morales L, Parri J, Julia V, Claret I. Segmental dilatation of the duodenum J Pediatr Surg 1989;24:1155–1157.
Balik E, Taneli C, Yazici M. Segmental dilatation of intestine: a case report and review of the literature Eur J Pediatr Surg 1993;3:118–120.
Honda H, Shimizu K, Kitahara S. Segmental dilatation of the intestine — case report of our two patients and review of 84 cases. J Jpn Soc Pediatr Surg 1994;30:279–287.
Porreca A, Capobianco A, Terracciano, D’Onofrio V. Segmental dilatation of the ileum presenting with acute intestinal bleeding. J Pediatr Surg 2002;37:1506–1508.
Irving IM, Lister J. Segmental dilatation of the ileum. J Pediatr Surg 1977;12:103–112.
Heller K, Waag KL, Beyersorf F. Intestinal duplications-intestinal diverticula-segmental dilatation of the intestine: a common genetic complex. Pediatr Surg Int 1989;4:249–253.
Ben Brahim M, Belghith M, Mekki M, Jouini R, Sahnoun L, Maazoun K, et al. Segmental dilatation of the intestine. J Pediatr Surg 2006;41:1130–1133.
Masumoto K, Akiyoshi J, Nagata K, Uesugi T, Taguchi S, Tajiri T, et al. Chronological change in intramural components in severe proximally dilated jejunal atresia: an immunohistochemical study. J Pediatr Gastroenterol Nutr 2008;46:602–606.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Katsura, S., Kudo, T., Enoki, T. et al. Congenital segmental dilatation of the duodenum: Report of a case. Surg Today 41, 406–408 (2011). https://doi.org/10.1007/s00595-010-4257-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00595-010-4257-5