Congenital hypertrophic pyloric stenosis

Case contributed by Kalyan S Chilwant
Diagnosis certain

Presentation

Infant of 3 month age presented with recurrent episodes of vomiting.

Patient Data

Age: 3 Months
Gender: Male

There is increased thickness of pylorus measuring 4mm of single muscle layer. Pyloric transverse diameter is increased and measures 28mm against normal < 13mm. 

Case Discussion

This case presented with classical symptoms and hypertrophic pyloric stenosis was clinically suspected. On physical examination a mass was palpated in the epigastrium and peristaltic waves seen. 

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