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Duodenum inversum: A report and review of the literature

      Abstract

      Duodenum inversum is a rare congenital malformation defined by a duodenum which travels superiorly and then posteriorly prior to crossing the midline above the pancreas. It is often confused with other, more common, anomalies of intestinal rotation. We present a case of duodenum inversum diagnosed incidentally in a one-month old infant with Trisomy 21 during evaluation for reflux disease. Due to an inability to definitively rule out malrotation, the diagnosis was confirmed with a diagnostic laparoscopy. We discuss available literature concerning this rare anatomic anomaly as well as provide recommendations for diagnosis and treatment.

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      References

        • Childress M.H.
        Duodenum inversum.
        J Natl Med Assoc. 1979; 71: 515-516
        • Rozek E.C.
        • Graney C.M.
        Duodenum inversum; a report of two cases.
        Radiology. 1951; 57: 66-69
        • Long F.R.
        • Mutabagani K.H.
        • Caniano D.A.
        • et al.
        Duodenum inversum mimicking mesenteric artery syndrome.
        Pediatr Radiol. 1999; 29: 602-604
        • Haedicke T.A.
        • Gonzalez J.
        Inverted duodenum; case report.
        Am J Roentgenol Radium Ther Nucl Med. 1955; 73: 401-402
        • Lehman G.A.
        • Kopecky K.K.
        • Rogge J.D.
        Partial pancreatic agenesis combined with pancreas divisum and duodenum reflexum.
        Gastrointest Endosc. 1987; 33: 445-448
        • Azhough R.
        • Bayat A.
        • Hashemzadeh S.
        • et al.
        The combination of annular pancreas and duodenum inversum presenting with delayed gastric emptying, pain, and feeding intolerance.
        Am J Gastroenterol. 2009; 104: 1328-1329
        • Komrad E.L.
        Inverted duodenum with duodenal ulcer: case presentation.
        J Mt Sinai Hosp N Y. 1959; 26: 447-449
        • Feldman M.
        • Morrison T.H.
        Inverted duodenum: its clinical significance, with report of 14 cases.
        Am J M Sc. 1940; 200: 69-74
        • Anderson J.E.
        Duodenum inversum.
        Can J Surg. 1960; 3: 262-263
        • Long F.R.
        • Kramer S.S.
        • Markowitz R.I.
        • et al.
        Intestinal malrotation in children: tutorial on radiographic diagnosis in difficult cases.
        Radiology. 1996; 198: 775-780