Presentation
Non-bilious projectile vomiting after taking milk. On examination, there is palpated olive-sized mass in the right upper quadrant.
Patient Data
Age: 25 days
Gender: Male
From the case:
Hypertrophic pyloric stenosis
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An ultrasound scan through the pylorus of the stomach shows a 25 mm length of the pylorus, pyloric transverse diameter is 13.6 mm and pyloric muscle thickness is 4.3 mm.
A typical antral nipple and cervix sign is seen in image 1.
Target sign and stomach hyperactivity were also seen (not shown).
Case Discussion
This patient is presented with a typical history of non-bilious projectile vomiting. On examination, there is an olive-like palpable mass in the epigastrium and he was dehydrated. No risk factors were present like tracheo-esophageal fistula, Turner syndrome, trisomy 18, etc.
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