Retrograde Pylorogastric Intussusception—Case Report and Literature Review

Autor: Samantha Worth, Zoey Morton, Samuel Groot, Michael Evert, Robert L. Gates
Rok vydání: 2023
Předmět:
Zdroj: The American Surgeon™. :000313482311809
ISSN: 1555-9823
0003-1348
DOI: 10.1177/00031348231180945
Popis: A 6-month-old male presented with an acute onset of emesis and feeding intolerance. Abdominal ultrasound revealed a mass in the distal stomach immediately adjacent to the balloon of a gastrostomy button. Upper gastrointestinal (GI) series demonstrated persistence of the mass obstructing the pylorus even after deflation of the gastrostomy balloon with failure of contrast to empty from the stomach. Upper endoscopy revealed retrograde pylorogastric intussusception. The child then underwent laparotomy, and after removal of the gastrostomy, a Heineke-Mikulicz pyloroplasty was performed. Postoperative total parenteral nutrition was administered for 10 days at which point he was passing flatus and enteral oral feeding started. The postoperative course remained uncomplicated.
Databáze: OpenAIRE