Congenital Duodenal Web

A 3 days old female child presented with feed intolerance and non-bilious vomiting since birth. Plain X-Ray of abdomen showed grossly dilated stomach suggestive of duodenal obstruction, so upper GI contrast study was done which showed partial obstruction at the junction of first and second parts of duodenum.

The baby was prepared and taken up for surgery, intraoperatively there was a duodenal web with central fenestration at the junction of first and second part of the duodenum which was excised and the longitudinal duodenotomy was closed transversely.

The baby recovered uneventfully and was discharged on 7^th postoperative day.