Late-Onset Hypertrophic Pyloric Stenosis in a 14-Weeks-Old Full Term Male Infant

Late-Onset Hypertrophic Pyloric Stenosis in a 14-Weeks-Old Full Term Male Infant

Background: Hypertrophic pyloric stenosis is the most common cause of gastric outlet obstruction in infants, and classically presents at 2 to 6 weeks of age. Delayed presentation is an extremely rare occurrence after early infancy. Case report: A 14-weeks-old full term male infant presented with non...

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Main Authors: Zenon Pogorelić, Ivana Čulo Čagalj, Vanda Žitko, Ana Nevešćanin, Vjekoslav Krželj
Format: Article
Language:English
Published: Karolinum Press 2019-01-01
Series:Acta Medica
Subjects:
hypertrophic pyloric stenosis
children
infants
late presentation
non-bilious vomiting
Online Access:https://actamedica.lfhk.cuni.cz/62/2/0082/
id doaj-3672e52002a54211bf1e742ddb1b0298
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spelling doaj-3672e52002a54211bf1e742ddb1b02982020-11-25T01:10:57ZengKarolinum PressActa Medica1211-42861805-96942019-01-01622828410.14712/18059694.2019.108Late-Onset Hypertrophic Pyloric Stenosis in a 14-Weeks-Old Full Term Male InfantZenon Pogorelić0Ivana Čulo Čagalj1Vanda Žitko2Ana Nevešćanin3Vjekoslav Krželj4Department of Pediatric Surgery, University Hospital of Split, Split, Croatia; University of Split, School of Medicine, Split, CroatiaDepartment of Pediatrics, University Hospital of Split, Split, CroatiaDepartment of Pediatrics, University Hospital of Split, Split, CroatiaDepartment of Anesthesiology, Reanimatology and Intensive Care, University Hospital of Split, Split, CroatiaDepartment of Pediatrics, University Hospital of Split, Split, Croatia; University of Split, School of Medicine, Split, CroatiaBackground: Hypertrophic pyloric stenosis is the most common cause of gastric outlet obstruction in infants, and classically presents at 2 to 6 weeks of age. Delayed presentation is an extremely rare occurrence after early infancy. Case report: A 14-weeks-old full term male infant presented with non-bilious vomiting, dehydration and hypocloremic metabolic alkalosis. Abdominal ultrasonography revealed tubular mass 20 mm in lenght. Because of unusual age, diagnosis was confirmed with upper gastrointestinal contrast study. Laparoscopic pyloromyotomy was performed. After surgery the child was free of symptoms, had gained weight, and was tolerating a regular diet. Message: Despite the age hypertrophic pyloric stenosis should be kept in mind in any child who presents with non-bilious vomiting.https://actamedica.lfhk.cuni.cz/62/2/0082/hypertrophic pyloric stenosischildreninfantslate presentationnon-bilious vomiting
collection DOAJ
language English
format Article
sources DOAJ
author Zenon Pogorelić
Ivana Čulo Čagalj
Vanda Žitko
Ana Nevešćanin
Vjekoslav Krželj
spellingShingle Zenon Pogorelić
Ivana Čulo Čagalj
Vanda Žitko
Ana Nevešćanin
Vjekoslav Krželj
Late-Onset Hypertrophic Pyloric Stenosis in a 14-Weeks-Old Full Term Male Infant
Acta Medica
hypertrophic pyloric stenosis
children
infants
late presentation
non-bilious vomiting
author_facet Zenon Pogorelić
Ivana Čulo Čagalj
Vanda Žitko
Ana Nevešćanin
Vjekoslav Krželj
author_sort Zenon Pogorelić
title Late-Onset Hypertrophic Pyloric Stenosis in a 14-Weeks-Old Full Term Male Infant
title_short Late-Onset Hypertrophic Pyloric Stenosis in a 14-Weeks-Old Full Term Male Infant
title_full Late-Onset Hypertrophic Pyloric Stenosis in a 14-Weeks-Old Full Term Male Infant
title_fullStr Late-Onset Hypertrophic Pyloric Stenosis in a 14-Weeks-Old Full Term Male Infant
title_full_unstemmed Late-Onset Hypertrophic Pyloric Stenosis in a 14-Weeks-Old Full Term Male Infant
title_sort late-onset hypertrophic pyloric stenosis in a 14-weeks-old full term male infant
publisher Karolinum Press
series Acta Medica
issn 1211-4286
1805-9694
publishDate 2019-01-01
description Background: Hypertrophic pyloric stenosis is the most common cause of gastric outlet obstruction in infants, and classically presents at 2 to 6 weeks of age. Delayed presentation is an extremely rare occurrence after early infancy. Case report: A 14-weeks-old full term male infant presented with non-bilious vomiting, dehydration and hypocloremic metabolic alkalosis. Abdominal ultrasonography revealed tubular mass 20 mm in lenght. Because of unusual age, diagnosis was confirmed with upper gastrointestinal contrast study. Laparoscopic pyloromyotomy was performed. After surgery the child was free of symptoms, had gained weight, and was tolerating a regular diet. Message: Despite the age hypertrophic pyloric stenosis should be kept in mind in any child who presents with non-bilious vomiting.
topic hypertrophic pyloric stenosis
children
infants
late presentation
non-bilious vomiting
url https://actamedica.lfhk.cuni.cz/62/2/0082/
work_keys_str_mv AT zenonpogorelic lateonsethypertrophicpyloricstenosisina14weeksoldfulltermmaleinfant
AT ivanaculocagalj lateonsethypertrophicpyloricstenosisina14weeksoldfulltermmaleinfant
AT vandazitko lateonsethypertrophicpyloricstenosisina14weeksoldfulltermmaleinfant
AT ananevescanin lateonsethypertrophicpyloricstenosisina14weeksoldfulltermmaleinfant
AT vjekoslavkrzelj lateonsethypertrophicpyloricstenosisina14weeksoldfulltermmaleinfant
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