| Autor: |
Syamantak Basu, Apoorva Makan, Akriti Tulsian, Vini Joseph, Suraj Gandhi, Neha Sisodiya Shenoy, Hemanshi Shah |
| Jazyk: |
English<br />Italian |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Journal of Pediatric and Neonatal Individualized Medicine, Vol 11, Iss 2, Pp e110229-e110229 (2022) |
| Druh dokumentu: |
article |
| ISSN: |
2281-0692 |
| DOI: |
10.7363/110229 |
| Popis: |
Congenital gastric outlet obstruction is a rare clinical entity. It may be confused with more common conditions (like idiopathic hypertrophic pyloric stenosis and others) and is difficult to diagnose. Patients have a dilated stomach with intermittent intolerance to feeds and have normal meconium and stool passage. Here is reported a case of a 10-day-old girl with recurrent non-bilious vomiting and upper abdominal distension after feeds. X-rays showed distended stomach with distal gas. On further investigation the baby was found to have a web in the pylorus. The web was excised via a prepyloric gastrotomy and reconstruction with a Heineke-Mikulicz pyloroplasty was done. Postoperative period was uneventful. On follow-up, the baby is asymptomatic and is thriving well. To conclude, presence of a pyloric web should be considered in neonates with non-bilious vomiting with a normal pylorus and a persistently distended stomach. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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