Diafragma duodenal: a propósito de un caso
Abstract
Se presenta el caso clínico de un paciente de 12 años de edad, atendido en los Servicios de Gastroenterología y Cirugía Pediátrica del Hospital de niños 'üaca
Ortíz que fue diagnosticado e intervenido quirúrgicamente de un diafragma mucoso intraluminal con orificio central entre la segunda y tercera porción del
duodeno, lo cual constituye una causa infrecuente de Obstrucción Intestinal Congénita. Destacamos además, la producción de una metaplasia gástrica en la mucosa duodenal y diafragma mencionados.
La estenosis duodenal congénita debida a un diafragma mucoso intraluminal constituye una causa infrecuente de obstrucción intestinal. Se estima que aproximadamente 1 por cada 10.000 nacidos vivos presentan estenosis y/o atresias duodenales; de las cuales al diafragma duodenal con orificio central o sin él le corresponde el 40 o/o de los casos.
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References
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25. Astley R,: Duodenal atressia with gast below the obstruction. Br. J . Radiol, 42: 361, 1989.
26. Rickham P.P.: Intramural intestinal obstruction. Prog. Pediatr, Surg. 2: 73, 1981.
27. Staffer U.G., Irving I.M,: Duodenal atresia and stenosis Longterm resuits, Progr, Pediatr, Surg. 10: 49, 1977,
28. Bell, M J , , Ternberg, J . L . , et al: Prepyloric gastric antral webs. A puzzling epidemic, J, Pediatric Surg. 13: 307, 1978.
29. Gerber B,D , Aberdene S,D,: Prepyloric diaphragm: An unusual abnormality, Arch, Surg, 90: 472, 1985,
30.Ghent C,N., Dentón M.D.: Mucosal diaphragm of the gastric antrum. A case report and review of the literature. Can J, Surg, 9: 587, 1984,
(1415-1416).
2. Louw, J.H., Cywes S.: Embriología y anomalías del intestino: Bockus Gastroenterología. Salvat, México, 1987, (1599-1611).
3. Spitz L . : Obstrucción intestinal en el recién nacido e intususcepción en el lactante. Maingot, Operaciones Abdominales. Panamericana, Buenos Aires, 1990, (1015-1023)
4. Guzzetta P.C., Anderson K., Altman P., Newman K.D., Eichelberger M., Randolph J . : Cirugía Pediátrica: Principios de Cirugía, Schwartz-Shires-Spencer. Interamericana, México, 1991 (1516-1518).
5. Holder T.M., Leape L . L . : Cirugía Pediátrica: Sabiston. Tratado de Patología Quirúrgica de Davis-Christopher. Intermaericana, México, 1981 (1345-1346).
6. Bickier S.W., Harrison M.W., Blank E., Campbell J.R.: Microperforation of a duodenal diaphragm as a cause of paradoxical gas in congenital duodenal obstruction. J. Pediatr-Surg. 27(6): 747, 1992.
7. Kay G.A., Lobe T . E . , Custer M.D., Hollabaugh R.S. Endoscopic láser ablation of obstructing congenital duodenal webs in the newborn: a case report of limited success with criteria for patient selection. J . Pediatr-Surg. 27(3): 279, 1992.
8. Panuel M., Bourliere-Njean B., Delarue A., Viard L . , Faure F . , Devred P.: Duodenal atresia with bifid termination of the common bile duct. Arch-Fr-Pediatr. 49(4): 365, 1992.
9. Rollo S., Inzani E . , Civardi C , Cremonesi V., Lagasi L . , Accordino R., Rosa G., Conti R.: Congenital duodenal stenosis. A case treated in adulthood. Minerva Chir.
47(10): 945, 1992.
10. Stringer M.D., Brereton R.J., Drake D.P., Wright V.M.: Double duodenal atresia/stenosis a report of four cases. 20. J-Pediatr-Surg. 27(5): 576, 1992.
11. Matsukawa Y., Inomata Y . , Yamamoto E . , Fujimura N. 21. Clinical features of delayed diagnosis in contenital duodenal obstruction. Nippon-Geka-Hokan, 60(1): 80, 1991,
12. Chhabra R., Suresh B,R,, Weinberg G,, Marión R,, Brion L,P,: Duodenal atresia presenting as hematemesis in a 22, premature infant with Doen syndrome. Case report and review of the litera ture, J-Perinatol, 12(1): 25, 1991.
13. Akhtar J, m Guiney E . J , : Congenital duodenal obstruc- 23, tion, Br-J-Surg, 79(2): 133, 1992.
14. Shilemok A,V., Litviakov A,M,, Martov L : Echographic diagnosis of chronic duodenal obstruction, Klin-Med- 24. (Mosk), 69(9): 57, 1991,
15. Sergeev I.V., Baulin, N,A,, Paramonova T , I , : Expediency of performing duodenojejunostomy in chronic duodenal 25, obstruction, Khirurgia (Mosk), 12: 98, 1991,
16. Tamisani, A.M., Di Noto, C , Di Rovasenda, E , : A rare 26. complication due to sulfuric acid ingestión. Eur-J-Pediatric- Surg, 2(3): 162, 1992. 27,
17. Shamma.sh, J,B., Rubesin, S,E,, Levine, M,S,: Massive gastric distention due to duodenal involvement by retro- 28. peritoneal tumors, Gastrointest-Radiol, 17(3): 214,1992.
18. Patel, J.C., Lesur, G., De Cervens, T., Renier J F . , Har- 29, dy, C , Favas, A,, Coompel, H, Dupuy, P,: Antropiloric lithiasic obstruction, A variant of Bouveret's yndrome, 30. Chirurgie: 117(5-6): 417, 1991,
19. Sperrezza, J.C., Flanagan, R,A,, Katlic, M,R,: Annular páncreas and intermittent duodenal obstruction in a alcoholic adult. Cleve-Clin-J-Med, 59(2): 208, 1992,
20. Brolin, R,E,: Partiall small bowel obstruction, Surgery, 95: 145, 1984,
21. O'Malley, J,M,, Ferrucci, J.T,, Goodgame, J,T,,: Medication bezoar Intestinal obstruction of an isocal bezoar, case report and review of the literature, Gastrointest Radiol, 6: 141, 1981,
22. Griffith, C,A.: Anatomy, in Harkins H.N,, Myhus, L.M. (eds): Surgery of the Stomach and Duodenum, Boston, Little, Brow, 1969, 25-38,
23.Grand R,J,, Watkins, J,B., et al: Development of the human gastrointestinal tract, Gastroenterology. 70: 790, 1986,
24. Economides N,G,, Fortner T,M,, et al: Duodenal diaphragm associated with superior mesenteric artery syndrome, Am, J . Surg, 141: 274, 1981,
25. Astley R,: Duodenal atressia with gast below the obstruction. Br. J . Radiol, 42: 361, 1989.
26. Rickham P.P.: Intramural intestinal obstruction. Prog. Pediatr, Surg. 2: 73, 1981.
27. Staffer U.G., Irving I.M,: Duodenal atresia and stenosis Longterm resuits, Progr, Pediatr, Surg. 10: 49, 1977,
28. Bell, M J , , Ternberg, J . L . , et al: Prepyloric gastric antral webs. A puzzling epidemic, J, Pediatric Surg. 13: 307, 1978.
29. Gerber B,D , Aberdene S,D,: Prepyloric diaphragm: An unusual abnormality, Arch, Surg, 90: 472, 1985,
30.Ghent C,N., Dentón M.D.: Mucosal diaphragm of the gastric antrum. A case report and review of the literature. Can J, Surg, 9: 587, 1984,
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2017-06-16
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Astudillo N P, Sandoval C G, Torres L, Vásconez M. F, Astudillo N. D. Diafragma duodenal: a propósito de un caso. Rev Fac Cien Med (Quito) [Internet]. 2017 Jun. 16 [cited 2024 Jul. 3];19(1-4):40-2. Available from: https://revistadigital.uce.edu.ec/index.php/CIENCIAS_MEDICAS/article/view/776
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