Congenital hypertrophic pyloric stenosis

Case contributed by Dr Ahmed Abd Rabou

Presentation

Recurrent vomiting and weight loss

Patient Data

Age: 2 months
Gender: Male
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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