Abstract
A newborn or infant with fenestrated duodenal web generally presents with vomiting. Children or older patients with this condition also present with duodenal obstructive symptoms. We herein report a case of duodenal web in a child presenting with not obstruction but recurrent pancreatitis. A 2.9-year-old boy with a 6-month history of recurrent back pain was referred to our hospital. An ultrasound examination revealed intraluminal fluid collection and entire wall thickening in the second portion of the duodenum. An upper gastrointestinal series revealed a ‘wind sock’ web in the duodenum. Under the diagnosis of membranous duodenal stenosis, the duodenal web was safely and reliably resected laparoscopically with the aid of preoperative endoscopic marking on the duodenal wall on the opposite side of the papilla and placement of an enteric tube through the web.
