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Indian Journal of Surgery
Medknow Publications on behalf of Association of Surgeons of India
ISSN: 0972-2068
Vol. 68, No. 6, 2006, pp. 320-321
Bioline Code: is06093
Full paper language: English
Document type: Research Article
Document available free of charge

Indian Journal of Surgery, Vol. 68, No. 6, 2006, pp. 320-321

 en Case Report-Mega-duodenum due to isolated segmental duodenal aganglionosis
Barmeda ShaileshH, Porecha MehulM, Bhimbhara PanchampalS, Mehta PurviJ, Vasavada HiralD, Sharma NirajJ

Abstract

Isolated segmental duodenal aganglionosis is an extremely rare condition. We report a case of mega-duodenum due to an isolated aganglionic segment in the second part of the duodenum. A 60-year-old female presented with a history of off-and-on non-bilious vomiting and upper abdominal fullness after each meal. Investigations suggested that the stomach and the first part of the duodenum were grossly dilated. On exploration, a narrowed segment in the second part of the duodenum with gross dilation of the proximal duodenum and the stomach was found. Retrocolic duodenojejunostomy was done and a biopsy was taken from the narrowed duodenal segment. Histopathology examination revealed near-complete absence of the ganglion cells in the narrowed segment.

Keywords
Aganglionosis, double bubble appearance, duodenojejunostomy, mega-duodenum

 
© Copyright 2006 Indian Journal of Surgery.

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