Idiopathic Hypertrophic Pyloric Stenosis with Complete Ladd's Band: A Rare Association

Autor:	Ahmed M. Abo Elyazeed, Mohamed M. Shalaby, Mohamed M. Awad, AbdelMotaleb M. Effat, Ahmed E. Abdella, Sherif Mohamed Shehata
Jazyk:	angličtina
Rok vydání:	2019
Předmět:	laparoscopic pyloromyotomy malrotation ladd's band ladd's procedure laparoscopic exploration postoperatively vomiting Pediatrics RJ1-570 Surgery RD1-811
Zdroj:	European Journal of Pediatric Surgery Reports, Vol 07, Iss 01, Pp e66-e68 (2019)
Druh dokumentu:	article
ISSN:	2194-7619 2194-7627
DOI:	10.1055/s-0039-1698400
Popis:	A male infant aged 45 days presented with projectile nonbilious vomiting for 2 weeks. Ultrasound showed picture of idiopathic hypertrophic pyloric stenosis. Laparoscopic pyloromyotomy was done, but postoperative vomiting that was mainly nonbilious continued without improvement. After 4 days of persistent vomiting, laparoscopic exploration was done and complete pyloromyotomy was confirmed and malrotation with complete Ladd's band was found, then case converted to open laparotomy and Ladd's procedure was done. Postoperatively, vomiting stopped completely and baby began gradual feeding till reaching full feed. Despite that the presentation of concurrent Idiopathic Hypertrophic Pyloric Stenosis with malrotation is extremely rare; a formal laparoscopic abdominal exploration should be done as the first step before proceeding to pyloromyotomy.
Databáze:	Directory of Open Access Journals
Externí odkaz:	https://doaj.org/article/b3d2a6fb0ed445aa881868e754de462f Zobrazit plný text záznamu View record in DOAJ