title: Late presentation of a duodenal web in a patient with situs inversus and apple peel jejunal atresia.
abstract: A 16-year-old girl presented with signs of proximal intestinal obstruction. In the neonatal period, surgical correction of an apple peel atresia had been performed, and she also had a situs inversus abdominalis. Revision of the anastomosis had been done when she was 3 years old. Contrast studies apparently again showed a stricture of the anastomosis, which was treated by stricturoplasty. Because of persistent obstruction, reexploration was done and revealed a duodenal membrane. Anastomotic strictures are very rare several years after the primary operation, so other causes of obstruction should be sought.
authors.affiliation: Pediatric Surgical Centre Amsterdam, Department of Pediatric Surgery, VU Medical Centre, P.O. Box 7057, 1007 MB Amsterdam, The Netherlands.
authors.forename: M G
authors.initials: MG
authors.lastname: Peetsold
authors.forename: S
authors.initials: S
authors.lastname: Ekkelkamp
authors.forename: H A
authors.initials: HA
authors.lastname: Heij
mesh_terms: D000293:Adolescent; D004065:Digestive System Abnormalities / Q000150:complications* / Q000601:surgery; D013505:Digestive System Surgical Procedures / Q000379:methods; D004380:Duodenal Obstruction / Q000151:congenital* / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006801:Humans; D007409:Intestinal Atresia / Q000175:diagnosis / Q000601:surgery*; D007415:Intestinal Obstruction / Q000151:congenital / Q000601:surgery; D007583:Jejunum / Q000002:abnormalities; D012086:Reoperation; D012857:Situs Inversus / Q000150:complications*; D016896:Treatment Outcome