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Packed with pills-obstructing duodenal web in the setting of intestinal malrotation:A case report

World Journal of Gastrointestinal Endoscopy 2023年第2期15卷 77-83页

作者： Kimberline Chew Sarah Bellemare Akash Kumar Internal Medicine Montefiore Medical CenterBronxNY 10467United States Division of Hepato-biliary Surgery Montefiore Medical CenterBronxNY 10467United States Division of Gastroenterology Montefiore Medical CenterBronxNY 10467United States

BACKGROUND The incidence of intestinal malrotation in adults has been reported to only be about 0.2%.duodenal web as a cause of intestinal obstruction is rare,with an incidence of about 1:20000-1:***,when described,these conditions are usually seen in early life and very infrequently in *** SUMMARY We report a case of a middle-aged woman with intestinal malrotation who presented with a three-month history of right-sided abdominal pain,early satiety,and a 22-pound weight *** underwent an esophagogastroduodenoscopy,which demonstrated numerous retained pills in a deformed first portion of the duodenum,concerning for a partial gastric outlet *** upper gastrointestinal series showed marked distention of the proximal duodenum with retained debris and the presence of a windsock sign,increasing the suspicion of a duodenal *** patient subsequently underwent surgical intervention where a duodenal web with two lumens was noted and resected,opening the *** were over 150 pill capsules that were *** patient is doing well after this *** Both intestinal malrotation and duodenal webs are infrequently encountered in the adult *** pathologies can also present with nonspecific abdominal symptoms such as chronic abdominal pain and ***,providers might not consider these pathologies in the differential for patients who present with vague symptoms which can lead to delay in management and increased mortality and morbidity.

关键词： Intestinal obstruction Intestinal malrotation duodenal web Pill impaction duodenal distention Case report

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