Hypertrophy of Ligament of Treitz
Journal Title: Journal of Krishna Institute of Medical Sciences University - Year 2015, Vol 4, Issue 2
Abstract
Congenital duodenal obstruction commonly occurs due to malrotation, atresia, stenosis and annular pancreas in decreasing order of frequency. This is a case report of a 12 year old male child who presented with complaints of non-projectile vomiting and abdominal distension and pain after meals since 7 years. Barium study showed narrowing of the Duodeno-jejunal(DJ) junction due to hypertrophied ligament of Treitz. Exploratory laparotomy revealed a dilated stomach and collapsed bowel loops. There were adhesions at DJ junction and other parts of the small intestine. Adhesiolysis was done. The followup revealed a weight gain of 2 kg. The barium study was repeated which also revealed a normal study. Congenital obstruction of duodeno-jejunal junction due to extrinsic band or due to narrower attachment of ligament of Treitz at duodeno-jejunal flexure is a rare cause of bilious vomiting in the newborn period. A broad attachment of the ligament of Treitz makes a smooth obtuse angle at the duodeno-jejunum junction whereas a narrower insertion creates an acute angle that predisposes to obstruction.Duodenal obstruction may rarely occur in the presence of a normally rotated gut.
Authors and Affiliations
Siddharth P. Dubhashi , Ishant S. Rege , S. R. Agarkhedkar
Keywords
Related Articles
- EP ID EP158423
- DOI -
- Views 81
- Downloads 0
Ageing and Pulse Wave Velocity in Relation to Serum Nitric Oxide
Background: The Pulse Wave Velocity (PWV) is an important marker of arterial stiffness. Age related changes of arterial stiffness in relation to PWV and endothelial derived Nitric Oxide (NOx) are least explored. Aim and...
Effectiveness of Self Instructional Module on Knowledge and Skills RegardingUse of Glasgow Coma Scale in Neurological Assessment of Patients amongNurses Working in Critical Care Units of KLE Dr. Prabhakar Kore Hospitaland Medical Research Centre, Belgaum
Aim and Objectives: 1] To assess the knowledge and skills regarding the use of Glasgow Coma Scale in neurological assessment of patients among the staff nurses. 2] To determine the effectiveness of the Self Instructional...
Goldenhar Syndrome: Review of Literature and A Case Report
Goldenhar syndrome is a rare congenital anomaly involving the first and second branchial arches. It has been reported with the incidence between 1:3500 and 1:5600, with a male: female ratio of 3:2. The exact etiology is...
Comparison of Whole Blood Culture and Blood Clot Culture for theDiagnosis of Enteric Fever
An Unusual Cause of Elbow Pain – A Case Report
Giant cell tumours are common bone tumours usually benign which arise at the metaphysis and extend towards the epiphysis of bone. A case of giant cell tumour in the distal humerus which is a rare site is presented he...