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J Korean Pediatr Soc. 2003 Apr;46(4):393-396. Korean. Case Report.
Lim BC , Lee JH , Kim KS , Choi GM , Shin KS , Hong JY , Kim YW .
Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea.
Department of General Surgery, College of Medicine, Cheju National University, Jeju, Korea.
Department of Radiology, College of Medicine, Cheju National University, Jeju, Korea.
Department of Pediatrics, College of Medicine, Cheju National University, Jeju, Korea. yeonukim@cheju.ac.kr
Abstract

Ileal atresia, a subtype of intestinal atresia, is one of the well-recognized causes of bowel obstruction in newborns. Prenatal diagnosis of intestinal atresia is very important in its management and outcome. Unfortunately, there are few cases of ileal atresia diagnosed prenatally, so more appropriate diagnoses and management plans are needed. As an associated gastrointestinal malformation with ileal atresia, hypertrophic pyloric stenosis is rarely reported. We report one case of postnatally diagnosed ileal atresia associated with hypertrophic pyloric stenosis which was complicated initially by bowel perforation and later by vomiting due to pyloric obstruction. Vomiting in the postoperative period is a common problem. But, if vomiting continues after the operation for ileal atresia, hypertrophic pyloric stenosis should be considered as a possible cause of medically retractable non-bilious vomiting.

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