Late-onset hypertrophic pyloric stenosis with gastric outlet obstruction: case report and review of the literature

被引：5

作者：

Wolf, Lindsey L. ^{[1
]}

Nijagal, Amar ^{[2
]}

Flores, Alejandro ^{[3
]}

Buchmiller, Terry L. ^{[2
]}

机构：

[1] Brigham & Womens Hosp, Dept Surg, Ctr Surg & Publ Hlth, 1620 Tremont St,4th Floor,Suite 4-020, Boston, MA 02120 USA

[2] Boston Childrens Hosp, Dept Surg, Boston, MA USA

[3] Boston Childrens Hosp, Div Gastroenterol Hepatol & Nutr, Boston, MA USA

来源：

PEDIATRIC SURGERY INTERNATIONAL | 2016年 / 32卷 / 10期

关键词：

Gastric outlet obstruction; Pyloric stenosis; Adolescent; Delayed presentation; BOTULINUM-TOXIN; PYLOROMYOTOMY; CHILDREN;

D O I：

10.1007/s00383-016-3955-5

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

We report late-onset hypertrophic pyloric stenosis in a 17-year-old female. She presented with abdominal pain and an episode of upper gastrointestinal hemorrhage and subsequently developed gastric outlet obstruction. Work-up revealed circumferential pyloric thickening, delayed gastric emptying, and a stenotic, elongated pyloric channel. Biopsies showed benign gastropathy, negative for Helicobacter pylori, without eosinophilic infiltrates. Botulinum toxin injection provided limited relief. Diagnostic laparoscopy confirmed the hypertrophic pylorus and we performed laparoscopic pyloromyotomy. The patient tolerated the procedure well and had complete symptom resolution at 1-year follow-up. Hypertrophic pyloric stenosis is a rare cause of gastric outlet obstruction in adolescents and may be managed successfully with laparoscopic pyloromyotomy.

引用

页码：1013 / 1016

页数：4

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