Occurrence of both congenital duodenal diaphragm and vascular compression of the duodenum in an elderly patient
| Autor: | John S. Najarian, David E.R. Sutherland, Ira D. Miller |
|---|---|
| Rok vydání: | 1972 |
| Předmět: |
medicine.medical_specialty
Vascular compression Duodenum medicine.medical_treatment Perforation (oil well) Lesion medicine Humans Elderly patient Aged business.industry General Medicine Gastroenterostomy Surgery Duodenal diaphragm Diaphragm (structural system) Mesenteric Arteries medicine.anatomical_structure Regional Blood Flow Female Duodenal Obstruction medicine.symptom business |
| Zdroj: | American journal of surgery. 123(3) |
| ISSN: | 0002-9610 |
| Popis: | A congenital duodenal diaphragm was encountered in an adult previously treated with gastroenterostomy for vascular compression of the duodenum. Impediment of a normal embryologic process results in the former lesion whereas the latter may arise secondarily as a result of debilitation. Survival into adulthood depends on the presence of a perforation within the diaphragm. The difficulties in establishing the correct diagnosis clinically, radiographically, and at exploration may lead to inadequate treatment. A duodenotomy with excision is the procedure of choice for duodenal diaphragm. A duodenojejunal bypass provides satisfactory treatment for vascular compression of the duodenum. |
| Databáze: | OpenAIRE |
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