Hypertrophic pyloric stenosis

Case contributed by Aws Qahtan Hamdi
Diagnosis certain

Presentation

Neonate male present with frequent projectile non-bilious vomiting.

Patient Data

Age: 40 days
Gender: Male

Ultrasound images

ultrasound

Ultrasound images (both in longitudinal and transverse planes) show gastric dilatation, with increased pyloric canal measurements, which measure 20 mm in length and 5 mm in muscular wall thickness (not seen in these images).

Case Discussion

Hypertrophic pyloric stenosis (HPS) refers to the idiopathic thickening of gastric py­loric musculature which then results in gastric outlet obstruction.

The Pyloric stenosis is relatively common, with an incidence of approximately 2-5 per 1000 births, and a male predilection (M:F ~4:1).

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