Recurrent Infantile Hypertrophic Pyloric Stenosis in the Emergency Department: A Case Report.
| Autor: | Kosoko AA; The University of Texas Health Sciences Center at Houston, McGovern Medical School, Houston, Texas., Tobar DC; The University of Texas Health Sciences Center at Houston, McGovern Medical School, Houston, Texas. |
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| Jazyk: | angličtina |
| Zdroj: | Clinical practice and cases in emergency medicine [Clin Pract Cases Emerg Med] 2022 Nov; Vol. 6 (4), pp. 284-287. |
| DOI: | 10.5811/cpcem.2022.8.57140 |
| Abstrakt: | Introduction: Infantile hypertrophic pyloric stenosis (IHPS) is a common cause of infant vomiting. Emergency department (ED) diagnosis is usually made by pyloric ultrasound and treated by pyloromyotomy. Case Report: An eight-week-old boy with a history of IHPS about six weeks status post pyloromyotomy presented to the ED with vomiting and failure to thrive, and a critically narrowed pylorus was identified by ultrasound. An upper gastrointestinal series confirmed recurrent pyloric stenosis, necessitating another pyloromyotomy. Conclusion: Prolonged vomiting after pyloromyotomy should be concerning for recurrent IHPS. Upper gastrointestinal series should augment ultrasound to diagnose recurrent IHPS and determine whether a second pyloromyotomy is warranted. |
| Databáze: | MEDLINE |
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