Gastric outlet obstruction in an 11‐year‐old girl: A case report
Ana Sofia Figueiredo, Carolina Soares‐Aquino, Rita Amorim, Lina Melão, Céu Espinheira, Isabel Pinto Pais, Miguel Campos, Eunice Trindade
TL;DR
An 11-year-old girl with gastric outlet obstruction due to pyloric stenosis was successfully treated with surgery.
Contribution
This case report highlights pyloric stenosis as a rare cause of gastric outlet obstruction in older children.
Findings
The patient had a very small pyloric orifice confirmed by endoscopy.
Heineke-Mikulicz pyloroplasty resolved the patient's symptoms.
Abdominal imaging confirmed pylorus thickening.
Abstract
Pyloric stenosis commonly affects infants and rarely causes gastric outlet obstruction in adolescents and older children. We present the case of an 11‐year‐old girl with a 2‐month history of recurrent postprandial vomiting and weight loss. On physical examination, the patient presented with abdominal distension. Upper gastrointestinal endoscopy revealed a very small pyloric orifice through which the endoscope could not be advanced. Abdominal ultrasonography and a computed tomography confirmed pylorus thickening. She underwent Heineke‐Mikulicz pyloroplasty with symptom resolution.
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Taxonomy
TopicsGastrointestinal disorders and treatments · Esophageal and GI Pathology · Intestinal and Peritoneal Adhesions