Late presentation of windsock type congenital duodenal stenosis after mushroom impaction

Late-onset congenital duodenal stenosis is often diagnosed by computed tomography (CT) or upper gastrointestinal series (UGIS). However, there is a high risk of aspiration when performing UGIS with a large amount of gastric residue and we want to avoid unnecessary radiation exposure as much as possi...

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Autores principales:	Mitsumasa Okamoto, Harunori Miyauchi, Hiroaki Fukuzawa
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	Late onset of congenital duodenal stenosis Shimeji mushroom impaction Ultrasonography Surgical membrane resection Pediatrics RJ1-570 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/250d68b2a62a4f719bbd8e8fd4d9db25
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spelling	oai:doaj.org-article:250d68b2a62a4f719bbd8e8fd4d9db252021-11-26T04:29:04ZLate presentation of windsock type congenital duodenal stenosis after mushroom impaction2213-576610.1016/j.epsc.2021.102132https://doaj.org/article/250d68b2a62a4f719bbd8e8fd4d9db252022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2213576621003535https://doaj.org/toc/2213-5766Late-onset congenital duodenal stenosis is often diagnosed by computed tomography (CT) or upper gastrointestinal series (UGIS). However, there is a high risk of aspiration when performing UGIS with a large amount of gastric residue and we want to avoid unnecessary radiation exposure as much as possible in infants. We performed ultrasonography (US) and impaction of mushrooms into the stenotic portion at the duodenal descending portion was found clearly. Two impacted shimeji mushrooms were successfully removed by an upper gastrointestinal endoscopic procedure. In the procedure, the stenotic portion looked like a pin hole, and the papilla of Vater could not be seen. After the endoscopic procedure, a laparotomy was performed and the membrane was identified and resected; the membrane was in the form of a “windsock”. Ultrasonographic diagnosis and surgical membrane resection by laparotomy are safe and effective procedures for the management of late-onset congenital duodenal stenosis in children.Mitsumasa OkamotoHarunori MiyauchiHiroaki FukuzawaElsevierarticleLate onset of congenital duodenal stenosisShimeji mushroom impactionUltrasonographySurgical membrane resectionPediatricsRJ1-570SurgeryRD1-811ENJournal of Pediatric Surgery Case Reports, Vol 76, Iss , Pp 102132- (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Late onset of congenital duodenal stenosis Shimeji mushroom impaction Ultrasonography Surgical membrane resection Pediatrics RJ1-570 Surgery RD1-811
spellingShingle	Late onset of congenital duodenal stenosis Shimeji mushroom impaction Ultrasonography Surgical membrane resection Pediatrics RJ1-570 Surgery RD1-811 Mitsumasa Okamoto Harunori Miyauchi Hiroaki Fukuzawa Late presentation of windsock type congenital duodenal stenosis after mushroom impaction
description	Late-onset congenital duodenal stenosis is often diagnosed by computed tomography (CT) or upper gastrointestinal series (UGIS). However, there is a high risk of aspiration when performing UGIS with a large amount of gastric residue and we want to avoid unnecessary radiation exposure as much as possible in infants. We performed ultrasonography (US) and impaction of mushrooms into the stenotic portion at the duodenal descending portion was found clearly. Two impacted shimeji mushrooms were successfully removed by an upper gastrointestinal endoscopic procedure. In the procedure, the stenotic portion looked like a pin hole, and the papilla of Vater could not be seen. After the endoscopic procedure, a laparotomy was performed and the membrane was identified and resected; the membrane was in the form of a “windsock”. Ultrasonographic diagnosis and surgical membrane resection by laparotomy are safe and effective procedures for the management of late-onset congenital duodenal stenosis in children.
format	article
author	Mitsumasa Okamoto Harunori Miyauchi Hiroaki Fukuzawa
author_facet	Mitsumasa Okamoto Harunori Miyauchi Hiroaki Fukuzawa
author_sort	Mitsumasa Okamoto
title	Late presentation of windsock type congenital duodenal stenosis after mushroom impaction
title_short	Late presentation of windsock type congenital duodenal stenosis after mushroom impaction
title_full	Late presentation of windsock type congenital duodenal stenosis after mushroom impaction
title_fullStr	Late presentation of windsock type congenital duodenal stenosis after mushroom impaction
title_full_unstemmed	Late presentation of windsock type congenital duodenal stenosis after mushroom impaction
title_sort	late presentation of windsock type congenital duodenal stenosis after mushroom impaction
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/250d68b2a62a4f719bbd8e8fd4d9db25
work_keys_str_mv	AT mitsumasaokamoto latepresentationofwindsocktypecongenitalduodenalstenosisaftermushroomimpaction AT harunorimiyauchi latepresentationofwindsocktypecongenitalduodenalstenosisaftermushroomimpaction AT hiroakifukuzawa latepresentationofwindsocktypecongenitalduodenalstenosisaftermushroomimpaction
_version_	1718409828850728960

Late presentation of windsock type congenital duodenal stenosis after mushroom impaction

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