J Korean Assoc Pediatr Surg.  2015 Dec;21(2):46-49. 10.13029/jkaps.2015.21.2.46.

A Natural Course of an Infantile Hypertrophic Pyloric Stenosis without Adequate Surgical Procedure

• Lim CW
• Park HK
• Yeom JS
• Park T
• Park JS
• Park ES
• Seo JH
• Lim JY
• Park CH
• Woo HO
• Youn HS

• KMID: 2133791
• DOI: http://doi.org/10.13029/jkaps.2015.21.2.46

Abstract

Infantile hypertrophic pyloric stenosis (IHPS) is one of the common surgical abdomen in infancy, characterized by progressive non-bilious vomiting. The etiology is unknown, but it likely develops after birth. The pylorus of the stomach becomes thick and triggers progressive vomiting. Abdominal ultrasonography (US) is widely used as a diagnostic tool. Currently, there is a rare IHPS patient with severe metabolic derangement because of general use of abdominal US and its accuracy. We experienced a natural course of a 62- day-old male infant with IHPS who was suffering from intermittent vomiting, loss of weight but had not been properly treated for 1 month. It is needed to make an effort to diagnose differentially in recurrent vomiting infant and check-up regularly, and also educate parents properly.

Keyword

Infantile hypertrophic pyloric stenosis; Vomiting; Education

MeSH Terms

Abdomen
Education
Humans
Infant
Male
Parents
Parturition
Pyloric Stenosis, Hypertrophic*
Pylorus
Stomach
Ultrasonography
Vomiting

Figure

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  Fig. 1 The infantogram shows distended stomach.

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  Fig. 2 Abdominal ultrasonograms reveal 2.5 cm of pyloric length (A) and 0.6 cm of pyloric thickness (B).

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