title: Persistent Nonbilious Vomiting in a Child: Possible Duodenal Webbing.
abstract: An association between malrotation and congenital duodenal webbing is rare. We present our experience with four patients at two centers, and a review of published reports. There are currently 94 reported cases of duodenal pathology associated with malrotation. However, only 15 of the 94 cases (15.9%) include patients with malrotation and a duodenal web. We suggest that nonbilious vomiting in a child must prompt the surgeon to consider duodenal pathology even in the presence of malrotation.
authors.affiliation: Division of Pediatric Surgery, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy.
authors.forename: Rossella
authors.initials: R
authors.lastname: Angotti
authors.affiliation: Division of Pediatric Surgery, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Molinaro
authors.affiliation: Pediatric Surgery Unit, Academic Salesi Children Hospital, Marche Polytechnic University, Ancona, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Cobellis
authors.affiliation: Pediatric Surgery Unit, Academic Salesi Children Hospital, Marche Polytechnic University, Ancona, Italy.
authors.forename: Carmine
authors.initials: C
authors.lastname: Noviello
authors.affiliation: Section of Obstetrics and Gynecology, Department of Molecular and Developmental Medicine, University of Siena, Siena, Italy.
authors.forename: Caterina
authors.initials: C
authors.lastname: Bocchi
authors.affiliation: Division of Pediatric Surgery, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Ferrara
authors.affiliation: Division of Pediatric Surgery, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy.
authors.forename: Edoardo
authors.initials: E
authors.lastname: Bindi
authors.affiliation: Division of Pediatric Surgery, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy.
authors.forename: Mario
authors.initials: M
authors.lastname: Messina
keywords: Child; Congenital duodenal web; Malrotation; Nonbilious vomiting