Congenital hypertrophic pyloric stenosis

Case contributed by Dr Kewal Arunkumar Mistry

Presentation

Infant presented with non bilious vomiting.

Patient Data

Age: 2 months
Gender: Male
Modality: Ultrasound

Abdominal ultrasound shows an elongated pyloric canal with increased pyloric muscle thickness. Redundant pyloric mucosa is seen projecting into the gastric antrum on longitudinal image (antral nipple).  

Case Discussion

Pyloric muscle thickness >3 mm on a transverse image and pyloric canal length >15 mm is compatible with congenital hypertrophic pyloric stenosis 1 which in our case measures 5.8 mm and 17.9 mm, respectively. 

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Case Information

rID: 34783
Case created: 8th Mar 2015
Last edited: 17th Aug 2016
Inclusion in quiz mode: Included

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