Clinical Report: Endoscopic Ultrasound Utilization for Diagnosing Duodenal Web
Overview
This report details a case of a 19-month-old toddler diagnosed with a delayed duodenal web using endoscopic ultrasound (EUS). The toddler underwent successful endoscopic web incision, leading to complete relief of symptoms without complications.
Background
Duodenal web is a rare cause of congenital duodenal obstruction in children, often presenting with atypical symptoms that can lead to misdiagnosis. Traditional diagnostic methods may involve high-risk procedures, highlighting the need for effective imaging techniques. This case emphasizes the utility of EUS in diagnosing and guiding treatment for delayed presentations of duodenal web.
Data Highlights
Clinical Timeline
Recurrent vomiting for 6 days
Admission with mild abdominal distension
Diagnosis confirmed by EUS and biopsy
Successful endoscopic web incision
Postoperative symptom relief without complications
Key Findings
Duodenal web is a rare condition in children, often presenting with delayed symptoms.
EUS effectively delineates the duodenal wall structure, aiding in diagnosis.
The toddler's diagnosis was confirmed through pathological biopsy following EUS.
Endoscopic web incision was successfully performed, avoiding open surgery.
Postoperative outcomes included complete symptom relief without complications.
Clinical Implications
EUS can be a valuable tool in diagnosing atypical cases of duodenal obstruction, potentially reducing the need for invasive surgical exploration. This case illustrates the effectiveness of minimally invasive techniques in managing pediatric gastrointestinal conditions.
Conclusion
The successful application of EUS in this case provides a novel reference for diagnosing and treating delayed duodenal web in children, emphasizing the importance of advanced imaging in clinical decision-making.
