Congenital Duodenal Diaphragm In The Adult

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Abstract
Twenty previously reported cases of congenital duodenal diaphragm in the adult are reviewed and an additional case is reported. The rare occurrence and the vague clinical manifestations of this entity contribute greatly to the difficulty of diagnosis in the adult. It should be considered, however, in the case of high, partial small bowel obstruction with an enlarged upper duodenum. Duodenotomy and excision of the diaphragm with adequate duodenal decompressive measures are advocated rather than bypassing procedures. The rationale for this mode of treatment is presented.