(Imagenes cortesia del Dr M. servicio Gastroenterologia )(Images courtesy of Dr M. Gastroenterology services)
Se investiga :
Todos con resultados dentro de los parametros normales.
Upper gastrointestinal endoscopy reports:
Esophagitis grade III-
-Erosive antritis and
Extrinsic compression-the 2nd portion of duodenum to 1.0 meters dental arch
Helicobacter Pylori IgG
All with results within normal parameters.
Surgery was and is an anomalous position duodenum (intraperitoneal in front of the Pancreas), a settler with the Blind in the midline and the rest in the left lower quadrant, with anomalously short. Flange is appreciated that "binds" the fourth portion of duodenum.
Is release of the flange and perform a duodeno-jejunal anastomosis with preventive appendectomy to avoid future with an appendix located in the middle abdomen.
Under normal conditions the duodenum is entirely peritoneal or retroperitoneal, intraperitoneal never as in this case