Case Report
Year: 2014 | Month: February | Volume: 4 | Issue: 2 | Pages: 226-230
Windsock Deformity in Jejunal Obstruction
Hemant Janugade1, Sunny Agarwal2, Prasad Bane2, Rahul Patil2, Ashish Garje2, Vimal Singh2, Pandurang Barve2
1Associate Professor, 2Resident
Department of Surgery, Krishna Institute of Medical Sciences Deemed University, Karad, Maharashtra, India.
Corresponding Author: Sunny Agarwal
ABSTRACT
Introduction: Windsock deformity (WD) is a rare case with incidence of 1 in 6000 to 10000 live births. It is commonly seen in duodenum but rare in jejunum.
Presentation of case: A 2.5yr female child came with complain of abdominal distention, vomiting and incomplete defecation. Patient looked malnourished. Barium study showed dilated stomach and duodenum upto proximal jejunum.
Discussion: WD is a rare occurrence causing intestinal obstruction. More common in second part of duodenum. In jejunum and ileum it is uncommon. ‘Windsock’ sign on X-ray is pathognomonic. Surgery is the treatment of choice.
Conclusion: WD is rare but early diagnosis and treatment can save the patient. Diagnosis can be done preoperatively. Even intra op diagnosis can be followed with successful surgery. Surgical resection is the treatment widely used.
Key words: Windsock deformity, jejunal web, intestinal obstruction, surgical resection.