Hypertrophic pyloric stenosis with antral nipple sign
10 weeks old patient with vomiting episodes. Admitted with projectile vomiting over 3 days with severe alkalosis.
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Spot images from ultrasound abdomen demonstrate thickening of the gastric pyloric musculature measuring up to 5 mm with the pyloric canal length measuring up to 2 cm.
Note is made of pyloric mucosa protruding into the gastric antrum, image 3. (antral nipple sign).