Caso contributivo
"Che cosa può celarsi dietro un'anemia...": un caso di atresia duodenale a esordio tardivo
What may hide behind anaemia: a casa of late-onset duodenal atresia
Maddalena Allegra1, Rossana Dolce2, Leonarda Bignone2, Elisabetta Raso2, Anna Caruso3,
Emanuela Giglione3, Laura Putignano4, Clotilde Alizzi1, Francesca Cardella1, Giovanni Corsello1,2
1U.O.C. Pediatria Generale, PO “G. Di Cristina” ARNAS Civico, Palermo
2Scuola di Specializzazione di Pediatria, Dipartimento PROMISE “G. D’Alessandro”, Università di Palermo
3U.O.C. Chirurgia Pediatrica, 4U.O.C. Radiologia Pediatrica, PO “G. Di Cristina” ARNAS Civico, Palermo
Maggio 2025 | DOI: 10.53126/MEBXXVIIIMA103
Abstract
Duodenal atresia (AD) is a congenital malformation characterised by complete or incomplete intrinsic obstruction of the duodenum. Prenatal diagnosis is often possible. Type 1 AD, according to the Gray-Skandalakis classification, consists of transverse membrane inside the duodenum, composed of mucosa and submucosa, associated with dilated proximal duodenum with thickened wall and narrowed distal duodenum, which may appear fenestrated, with partial obstruction. These patients may experience delayed and more nuanced symptoms that may lead to unrecognized diagnosis for a long time. The paper presents a case of an 11-year-old girl, with anaemia and vomiting as warning signals of the underlying pathology, in which the disease was misdiagnosed as a psychosomatic functional disorder.
Contenuto riservato
Per leggere l'articolo è necessario effettuare il login.
Parole chiave
Suggerite dall'AI
