Chronic duodenal ileus with gastromegaly is not frequently diagnosed in childhood; in fact, few cases are reported in the literature. The standard textbooks on pediatrics are silent on the subject. The references to duodenal ileus found in the literature are principally to cases that occurred in adults, though several authors in describing it suggest that it may have persisted from childhood.1 Still2 mentioned duodenal ileus in the child as a differential diagnosis from hypertrophic stenosis, but claimed it is so rare that it may be dismissed. Neff3 reported two cases that came to autopsy. Miller and Gage4 made a careful study of chronic duodenal ileus in children and published a comprehensive report analyzing nine of their own cases and a number of cases found in the literature.
The etiology of chronic duodenal ileus in children appears to be varied. The usually accepted cause given is a