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CONGENITAL DUODENAL DIAPHRAGM IN AN ADULT
Author(s) -
CREGAN P.,
HOLLINSHEAD J.,
SMITH R.,
GlLLETT D.
Publication year - 1981
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1981.tb05911.x
Subject(s) - medicine , diaphragm (acoustics) , gastroenterostomy , vomiting , epigastric pain , vagotomy , surgery , gastrectomy , physics , cancer , acoustics , loudspeaker
A case of congenital duodenal diaphragm has been presented. The clinical features of protracted vomiting, epigastric pain and discomfort after meals with a gastric splash occurring at any age, the biochemical features of profound hypokalaemia and hypochloraemic alkalosis, and the radiological demonstration of a diaphragm have been shown to be of diagnostic significance. The operation of vagotomy and gastroenterostomy was unsuccessful in this case, and a literature review suggests that duodenotomy with excision of the diaphragm is the preferred method of treatment.