Case Report: Endoscopic ultrasound in the diagnosis and endoscopic treatment of a delayed-presentation duodenal web in a toddler
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By
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Qian Huang
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Rensen Jiang
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Miaobing Wu
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Jiexing Long
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Jing Lao
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Dongling Dai
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Liang Liu
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Bin Wang
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Jianyao Wang
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June 5, 2026
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Clinical Scorecard: Endoscopic Ultrasound Utilization for Diagnosing and Treating a Delayed Duodenal Web in a Toddler: A Case Study
At a Glance
| Category | Detail |
|---|
| Condition | |
| Key Mechanisms | Endoscopic ultrasound (EUS) for diagnosis and treatment of duodenal web |
| Target Population | |
| Care Setting | |
Key Highlights
- Rare case of delayed duodenal web in a 19-month-old toddler
- EUS revealed circumferential thickening of the duodenal wall
- Pathological biopsy ruled out neoplastic lesions
- Endoscopic web incision performed
Guideline-Based Recommendations
Diagnosis
- Utilize EUS for detailed imaging of duodenal structures
- Consider differential diagnoses such as SMA syndrome and space-occupying lesions
Management
- Endoscopic web incision as a treatment option
Monitoring & Follow-up
- Postoperative observation for complications
Risks
- Potential misdiagnosis with traditional imaging
Patient & Prescribing Data
EUS can provide diagnostic information
Clinical Best Practices
- Employ EUS for diagnosis of gastrointestinal obstructions
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