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Delayed presentation of a congenital duodenal web managed successfully with incision of web
  1. Mahendra Kumar Jangid,
  2. Reyaz Ahmad and
  3. Sujeet Pandre
  1. Department of Pediatric Surgery, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India
  1. Correspondence to Dr Reyaz Ahmad; reyaz.pediasurg{at}


One of the causes of congenital incomplete duodenal obstruction is the presence of congenital duodenal web with fenestration. This condition requires a high index of suspicion for an early and accurate diagnosis. We present an unusual presentation of duodenal web in a 6-year-old girl who presented with a 3-year history of cyclical and seasonal vomiting and abdominal pain. The diagnosis of congenital duodenal web with fenestration was made on contrast study and endoscopy and was treated surgically by incision of the web.

  • stomach and duodenum
  • congenital disorders
  • gastrointestinal surgery
  • paediatric surgery

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  • Contributors MKJ: drafting the article or reporting, acquisition of data and clinical work. RA: conception and design of article, planning and final correction. SP: collection and maintenance of data, clinical work.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.