成人にみられた先天性十二指腸膜様狭窄症の１例

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  • An Adult Case of Congenital Duodenal Diaphragm.

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Duodenal diaphragm is a rare congenital disease and it is usually diagnosed in infancy. Wereport here an adult case of this disease. The patient was a 24-year-old woman. She had a history of frequent vomiting from infancy, but had not received any special treatment. When she visited a hospital complaining of abdominal pain in July 1989, a diagnosis of duodenal diaphragm was made from an upper gastrointestinal barium series and endoscopy. The diaphragm was safely excised, and the postoperative course was uneventful. The orifice of the accessory pancreatic duct was found on the oral surface of the diaphragm, and the papilla of Vater was located near the anal portion of the diaphragm. It is important to confirm the opening of the bile duct and pancreatic duct by secretin injection or a gallbladder compression test, to prevent injury to the opening when excising the duodenal diaphragm.

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