Wind sock-Type Congenital Duodenal Stenosis: An Infant Case With a Successful Endoscopic Surgery

Abstract

We treated infant congenital duodenal web with malrotation by endoscopic treatment. A three-year-old child presented with repeated vomiting. Blood tests indicated pancreatitis. Computed tomography showed a mass in the duodenum, and an upper gastrointestinal (UGI) series suggested duodenal obstruction. An emergency laparotomy revealed no ligament of Treitz. Under a diagnosis of malrotation of intestine, we undertook Ladd’s operation. Six days later, the UGI series showed contrast stagnation and a double wall in the duodenum. An endoscopic examination revealed a windsock-type web in the duodenum distal to the papilla of Vatter. We cut the membrane using a flush knife. She has been well for two and a half years after the endoscopic surgery.