Article Sidebar
Views PDF: 188
HYPERTROPHIC PYLORIC STENOSIS IN A PRETERM NEWBORN: A CASE REPORT
Main Article Content
Abstract
Hypertrophic pyloric stenosis is a disease that occurs in the second week of life, of unknown origin, which consists of the narrowing of the pylorus due to concentric muscular hypertrophy, causing gastric outlet obstruction with progressive vomiting that leads to malnutrition, dehydration, and serious metabolic disorders. Hypertrophic pyloric stenosis is exceedingly rare in newborns and is rarely reported in the literature. This report is of a premature newborn, low birth weight with hypertrophic pyloric stenosis. The patient presented with vomiting milk at 4 days of age, epigastric distension and dilated gastric shadow on the abdominal radiograph. The child was treated in the direction of gastroesophageal reflux but the disease did not progress, the child still vomited milk fluid. Gastrointestinal circulation with contrast showed only dilated stomach. Re-ultrasound on day 10 showed thickened pylorus. The patient underwent pyloromyotomy with open surgery. Postoperative progress, the patient improved without vomiting milk, discharged after 1 week.
Article Details
References
2. Taylor N.D., Cass D.T., and Holland A.J.A. (2013). Infantile hypertrophic pyloric stenosis: has anything changed?. J Paediatr Child Health, 49(1), 33–37.
3. Zenn M.R. and Frank Redo S. (1993). Hypertrophic pyloric stenosis in the newborn. Journal of Pediatric Surgery, 28(12), 1577–1578.
4. Chan S.M., Chan E.K.W., Chu W.C.W., et al. (2011). Hypertrophic pyloric stenosis in a newborn: a diagnostic dilemma. Hong Kong Med J, 17(3), 245–247.
5. Calle-Toro J.S., Kaplan S.L., and Andronikou S. (2020). Are we performing ultrasound measurements of the wall thickness in hypertrophic pyloric stenosis studies the same way?. Pediatr Surg Int, 36(3), 399–405.
6. Demian M., Nguyen S., and Emil S. (2009). Early pyloric stenosis: a case control study. Pediatr Surg Int, 25(12), 1053–1057.
7. Keckler S.J., Ostlie D.J., Holcomb Iii G.W., et al. (2008). The progressive development of pyloric stenosis: a role for repeat ultrasound. Eur J Pediatr Surg, 18(3), 168–170.