Case Report
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Apr 26, 2025; 13(12): 101443
Published online Apr 26, 2025. doi: 10.12998/wjcc.v13.i12.101443
Diagnostic value of upper gastrointestinal imaging for duodenal webbing in adults: A case report
Kang-Quan Chen, Wen-Qian Jiang, Xiao-Rong Li
Kang-Quan Chen, Wen-Qian Jiang, Xiao-Rong Li, Department of Radiology, General Hospital of Southern Theater Command, Guangzhou 510010, Guangdong Province, China
Co-first authors: Kang-Quan Chen and Wen-Qian Jiang.
Author contributions: Chen KQ conceived and designed the experiments, performed the experiments, analyzed the data, contributed reagents, materials, analysis tools, and wrote the paper; Jiang WQ conceived and designed the experiments, performed the experiments, contributed reagents, materials, analysis tools, and helped in writing the paper; Li XQ conceived and designed the experiments, analyzed the data, supervised the research, contributed reagents, materials, analysis tools, and wrote the paper; all of the authors read and approved the final version of the manuscript to be published.
Informed consent statement: The patient has signed the informed consent form.
Conflict-of-interest statement: No potential conflict of interest was reported by the authors.
CARE Checklist (2016) statement: The authors have read the CARE Checklist statement, and the manuscript was prepared and revised according to the CARE Checklist statement.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xiao-Rong Li, PhD, Doctor, Department of Radiology, General Hospital of Southern Theater Command, No. 111 Liu Hua Road, Yuexiu District, Guangzhou 510010, Guangdong Province, China. lxrong2008@163.com
Received: September 14, 2024
Revised: December 10, 2024
Accepted: December 18, 2024
Published online: April 26, 2025
Processing time: 115 Days and 1.2 Hours
Abstract
BACKGROUND

Duodenal web is a rare congenital malformation, exceedingly uncommon in adults, and often misdiagnosed due to the subtle imaging features.

CASE SUMMARY

By analyzing the clinical diagnosis process and various imaging findings of a patient from our institution, this case report emphasizes the necessity of upper gastrointestinal series in diagnosing duodenal webs, outlines its typical radiographic features, and provides a literature review on the etiology, clinical presentation, and management of this condition.

CONCLUSION

This case report emphasizes the necessity of upper gastrointestinal series in diagnosing duodenal webs.

Keywords: Duodenal web; Upper gastrointestinal imaging technology; Misdiagnosis; Medical imaging; Case report

Core Tip: Duodenal web is a rare congenital malformation causing intestinal obstruction, primarily seen in newborns but also possible in adults. This case report highlights a 27-year-old male with misdiagnosed duodenal web due to atypical imaging results. Upper gastrointestinal imaging ultimately revealed characteristic features leading to the correct diagnosis. This emphasizes the importance of recognizing specific imaging manifestations for accurate preoperative diagnosis and suggests that clinicians should consider duodenal web in adult patients with unexplained recurrent pancreatitis. Comprehensive examinations are crucial to avoid missed diagnoses in such cases.