case_images: PMC11784611_01
case_images: (A) The plain x-ray revealed a small air-fluid level in the upper right quadrant, accompanied by the absence of gas in the distal area. (B) The barium meal study demonstrated an obstructed passage of barium in the third segment of the duodenum. (C) The abdominal ultrasound showed a strip-like hypoechoic external compression affecting the third part of the duodenum, preventing the passage of contents. (D) The abdominal CT scan showed the distension of proximal duodenum with fluid accumulation.
case_images: fped-13-1491520-g001.jpg
case_images: PMC11784611_01_fped-13-1491520-g001.jpg
case_images: F1
case_images: The plain x-ray showed a small fluid-air level with the absence of distal gas (Figure 1A). A barium meal demonstrated an obstructed passage of contrast at the third part (horizontal portion) of the duodenum (Figure 1B). Abdominal ultrasound performed after water intake revealed a strip-like hypoechoic external compression affecting the third part of the duodenum, preventing the passage of contents (Figure 1C). A contrast-enhanced computed tomography (CT) scan of the abdomen identified distension of the proximal segment of the duodenum with fluid accumulation (Figure 1D).
case_images: The gastroduodenoscopy revealed a distorted intestinal lumen, preventing the passage of the guidewire (A) after resecting the congenital bands, the distortion of the intestinal lumen was resolved (B).
case_images: fped-13-1491520-g002.jpg
case_images: PMC11784611_01_fped-13-1491520-g002.jpg
case_images: F2
case_images: As a result, we proceeded with gastroduodenoscopy, which revealed that the endoscope could not pass through the distorted intestinal lumen approximately 40 cm distal to the pylorus (Figure 2A). Additionally, a gastroduodenoscopy was conducted to confirm the resolution of the duodenal obstruction (Figure 2B).
case_images: Two congenital bands were identified during the laparoscopy. One extending from the duodenum to the transverse colon, crossing over the third part of the duodenum (A), and the other attached between the duodenum and the root of the mesentery (B).
case_images: fped-13-1491520-g003.jpg
case_images: PMC11784611_01_fped-13-1491520-g003.jpg
case_images: F3
case_images: During the procedure, two bands were identified: one extending from the duodenum to the transverse colon, crossing over the third part of the duodenum (Figure 3A), and the other attached between the duodenum and the root of the mesentery (Figure 3B).