Wilke's syndrome is a rare cause of partial or complete duodenal obstruction due to exterior compression of the third part of the duodenum by the superior mesenteric artery. It is a true syndrome with characteristic clinical picture which should be included in the differential diagnosis of chronic duodenal ileus. It is initially treated conservatively and then operatively in case of failure of ...

Duodenal malformations are the third commonest cause of intestinal obstruction in infants. A spectrum of intrinsic obstructive lesions within the duodenum ranges from atresia to congenital bands. Rarely, duodenal malformations may first present in adulthood. Less than 70 cases of duodenal web presenting in an adult have been reported in the literature. In 10 patients the presentation was associ...

Midgut malrotation includes a range of developmental abnormalities that occur during fetal intestinal rotation. Manifestations of intestinal malrotation are generally seen in the paediatric population and are uncommon in adults. Symptomatic patients may present with either acute abdominal pain due to midgut volvulus, or chronic abdominal pain due to proximal midgut partial obstruction in the pr...

Two cases of distal duodenal strictures are reported. One case had histopathologically confirmed tuberculosis and one suspected tuberculosis which responded dramatically to antituberculous therapy. Tuberculosis should be considered as a cause of distal duodenal obstruction in Pakistan (JPMA 35:53, 1985).

In a patient with duodenal atresia, a "double bubble" is classically present on plain radiographs. When bowel gas exists distal to the duodenum, duodenal atresia often is excluded from the differential diagnosis. The authors present a case in which contrast can be seen in the small bowel and biliary system on upper gastrointestinal series in a patient with duodenal atresia and an anomalous comm...

Para duodenal hernia is among the uncommon and rare causes of intestinal obstruction, but it is the most common type of internal hernia in abdomen and accounts for more than half of cases that do occur. Here, we are reporting a case of right Para duodenal hernia, reduced and repaired laparoscopically. This thirteen year old girl presented to us with features of small bowel obstruction of two da...

As a palliative bypass for unresectable gastric or periampullary cancer, gastrojejunostomy (GJ) is sometimes associated with postoperative delayed gastric emptying. We report the successful laparoscopic application of this procedure in a 78-year-old man with duodenal obstruction. Computed tomography revealed a mass in the duodenum along with multiple masses in the liver. A radiological image sh...

SUPERIOR MESENTERIC ARTERY SYNDROME AN UNUSUAL CAUSE OF DUODENAL OBSTRUCTION. (Abstract): Superior mesenteric artery (SMA) arising from aorta at the level of first lumbar vertebra usually takes an angular downward course from ventral surface of aorta. It is through this vascular angle that the 3rd part of duodenum passes at the level of 4th lumbar vertebra. Fat and lymphatics around SMA maintai...

We present the case of a 77-year-old white woman with a past medical history of transitional cell carcinoma of the urinary bladder that presented with symptoms of acute renal failure and duodenal obstruction and posed a diagnostic dilemma. Initially, she presented with bilateral ureteral strictures and eventually required bilateral nephrostomy tubes. Later, the patient developed intractable nau...

Brunner gland adenoma (Brunerroma or hamartoma) is a rare, benign lesion of the Brunner’s glands, accounting for 10.6% of benign duodenal tumors10. It is predominantly seen in the 5th to 6th decades and with no gender predilection13. It is often an incidental finding during esophagogastroduodenoscopy or imaging studies. In symptomatic patients, clinical manifestations include gastrointestinal b...