Hypertrophic pyloric stenosis

Case contributed by Dr Fazel Rahman Faizi

Presentation

Projectile non-bilious vomiting for two weeks

Patient Data

Age: 35 days
Gender: Male
Ultrasound

Abnormal thickening and elongation of the pyloric canal are noted giving the cervix sign.

Pyloric canal length measures 21mm.

Pyloric canal transverse diameter measures = 13mm. 

Pyloric single wall thickness measures = 6mm.,

Case Discussion

Pyloric muscle thickness is directly related to the age and weight of the infants, whereas lenght of the pyloric canal is found to have no such a relationship with the age and weight of the infant. 

Younger infants with low weights with the clinical diagnosis of hypertrophic pyloric stenosis may still have hypertrophic pyloric stenosis even if the ultrasonographic minimum diagnostic criterion for hypertrophic pyloric stenosis is not met.

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Case information

rID: 67728
Published: 21st Apr 2019
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: French Medical Institute for Mothers and children

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