Congenital hypertrophic pyloric stenosis

Case contributed by Dr Ahmed Abd Rabou

Presentation

Recurrent vomiting and weight loss

Patient Data

Age: 2 months
Gender: Male
Modality: Ultrasound

The pylorus shows thickened muscle layer measures about 5.3 mm in thickness, it is also elongated and measures 21 mm in length. picture is indicative of hypertrophic pyloric stenosis. A note is made of phrygian cap of the gall bladder (Normal variant)

Case Discussion

Congenital hypertrophic pyloric stenosis is more common in boys and manifested at 3-8 weeks of life. Its diagnosis can easily be made by ultrasonography and depends on visualization of thickened pyloric muscle layer (> 3 mm) and elongated pyloric canal (> 15 mm).

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Case Information

rID: 24603
Case created: 30th Aug 2013
Last edited: 29th Aug 2016
Inclusion in quiz mode: Included

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