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October 1952

PARTIAL INTESTINAL OBSTRUCTION CAUSED BY AN INTRADUODENAL SEPTUM: Report of the Case of a Two-Year-Old Infant with Partial Intestinal Obstruction Since Birth

Author Affiliations

Chief, Fourth Surgical Service (Dr. St. John); Resident in Surgery (Dr Tamoney), St. Francis Hospital.

AMA Am J Dis Child. 1952;84(4):439-441. doi:10.1001/archpedi.1952.02050040047005

THE INFREQUENCY of duodenal septa causing a partial obstruction in infants is undoubtedly a major factor in the tardiness or neglect in establishing its diagnosis. As this case well illustrates, when the symptoms are not particularly severe at birth and early infancy the diagnosis may well be masked by other abnormalities that simulate this condition. It is because of this interesting viewpoint as well as the fact that there are so few cases seen in the literature that this report is being published. The three distinct entities which could have very likely caused the symptoms presented by our patient were, interestingly enough, sufficiently plausible to have delayed the establishment of the true pathology two years.

The feeding problem in infants, when severe enough to call for hospitalization, is perhaps the most easily understandable one, as this is the one most commonly found elsewhere in the literature. Pyloric stenosis and an

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