Hypertrophic pyloric stenosis

Case contributed by Dr Maulik S Patel

Presentation

Case of vomiting and failure to thrive.

Ultrasound

Thickening of pyloric wall is seen. Single wall thickness is 4-5 mm (normal is up to 3 mm). Length of pyloric canal is 18-20 mm (normal is up to 16 mm).

Case Discussion

Surgically proven case. If ultrasound findings are diagnostic, there is generally no need for barium series.

An experienced surgeon can palpate an 'olive' in epigastric region, representing hypertrophic pyloric stenosis

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Case information

rID: 9248
Case created: 26th Mar 2010
Last edited: 18th Dec 2015
System: Paediatrics
Inclusion in quiz mode: Excluded

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