Late onset Infantile Hypertrophic Pyloric Stenosis

Al-Mayoof, Ali Farooq; Doghan, Ibraheem K.

doi:10.1016/j.epsc.2017.11.001

Cited by 5 publications

(5 citation statements)

References 9 publications

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“…Our extensive literature review identified a total of 21 cases of HPS described in children with onset of symptoms after three months of age (range: seven months–17 years) [ 6 , 7 , 8 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 ], with only three cases reported in adolescents (14, 15, and 17 years, respectively) [ 6 , 7 , 8 ] ( Table 1 ).…”

Section: Discussionmentioning

confidence: 99%

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Hypertrophic Pyloric Stenosis in an Adolescent Girl: An Atypical Presentation of an Unexpected Disease

et al. 2023

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Hypertrophic pyloric stenosis is a common cause of vomiting in the first few weeks of life, but in rare cases, it may occur in older subjects with a major risk of delayed diagnosis and complications. We describe the case of a 12-year-and-8-month-old girl who presented to our department for epigastric pain, coffee-ground emesis, and melena, which arose after taking ketoprofen. An abdomen ultrasound showed thickening (1 cm) of the gastric pyloric antrum, while upper-GI endoscopy documented esophagitis and antral gastritis with a non-bleeding pyloric ulcer. During her hospital stay, she had no further episodes of vomiting and was therefore discharged with a diagnosis of “NSAIDs-induced acute upper gastrointestinal tract bleeding”. After 14 days, following recurrence of abdominal pain and vomiting, she was hospitalized again. At endoscopy, pyloric sub-stenosis was found, abdominal CT showed thickening of large gastric curvature and pyloric walls, and an Rx barium study documented delayed gastric emptying. On suspicion of idiopathic hypertrophic pyloric stenosis, she underwent Heineke–Mikulicz pyloroplasty with resolution of symptoms and restoration of a regular caliber of the pylorus. Hypertrophic pyloric stenosis, although occurring rarely in older children, should be taken into account in the differential diagnosis of recurrent vomiting at any age.

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Section: Discussionmentioning

confidence: 99%

“…More recently endoscopic piloromiotomy has also been described [ 28 ]. In pediatric cases of late-onset HPS, pyloromyotomy was performed as the first treatment in two cases [ 15 , 18 ], and in two other cases [ 8 , 21 ], this was done after failure of less invasive treatments. Resolution was achieved in all the cases.…”

Section: Discussionmentioning

confidence: 99%

Hypertrophic Pyloric Stenosis in an Adolescent Girl: An Atypical Presentation of an Unexpected Disease

et al. 2023

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“…La etiología exacta de la EHP es desconocida, sin embargo, existen múltiples teorías para explicarla afección, y se sugiere un origen multifactorial, donde influyen tanto factores genéticos como ambientales (4,5). Han sido implicados factores de riesgo como lo son los antecedentes familiares, el género, la edad materna joven, ser primogénito y el patrón de alimentación (6). Se cree que es una patología que se desarrolla posterior al parto (7).…”

Section: Etiologíaunclassified

“…La EHP afecta a neonatos de 2 a 8 semanas de vida. Aproximadamente, el 95% de los casos se diagnostican entre las 3 y las 12 semanas de edad (10), y tiene una incidencia de 1,5-5 casos por cada 1000 recién nacidos vivos, con tendencia a disminuir en los últimos años (6). El 5,5% de los hijos y el 2,5% de las hijas de los padres afectados desarrollan la enfermedad, en comparación con el 20% de los hijos y el 7% de las hijas de las madres afectadas (9).…”

Section: Epidemiologíaunclassified

Estenosis hipertrófica del píloro pediátrica

2022

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La estenosis hipertrófica de píloro es una patología frecuente en neonatos entre 2 a 8 semanas de edad, se presenta más en niños varones y en primogénitos, tiene una incidencia de 1,5-5 casos por cada 1000 recién nacidos vivos. Se caracteriza por ser un estrechamiento del canal pilórico, generada como resultado de una hipertrofia de los músculos que forman el píloro y representa la causa quirúrgica más frecuente asociada a vómitos no biliosos en la infancia. Su etiología es desconocida, sin embargo, se sugiere un origen multifactorial, donde influyen tanto factores genéticos como ambientales. Generalmente las manifestaciones clínicas incluyen vómitos postprandiales, la presentación de una masa en forma de oliva a la exploración de abdomen, y una alcalosis metabólica hipoclorémica debido a la pérdida de grandes cantidades de ácido clorhídrico. El diagnóstico de la patología es clínico, sin embargo, métodos como el ultrasonido y la serie gastroduodenal con bario son útiles para la confirmación del diagnóstico. El tratamiento de la patología continúa siendo quirúrgico, mediante piloromiotomía extramucosa, la cual presenta un bajo índice de complicaciones y tiene un buen pronóstico general.

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“…after birth and the degree of muscle hypertrophy will determine the age of onset of the vomiting (4). In literature there are just few case reports where delayed presentation after typical age was reported, with age range from 5 months to 5 years (4)(5)(6)(7)(8). Late onset presentation gives the condition an acquired origin rather than congenital one.…”

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confidence: 99%

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

Pogorelić

Čagalj

Žitko

et al. 2019

Acta Med. (Hradec Kralove, Czech Repub.)

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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.

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Late onset Infantile Hypertrophic Pyloric Stenosis

Cited by 5 publications

References 9 publications

Hypertrophic Pyloric Stenosis in an Adolescent Girl: An Atypical Presentation of an Unexpected Disease

Hypertrophic Pyloric Stenosis in an Adolescent Girl: An Atypical Presentation of an Unexpected Disease

Estenosis hipertrófica del píloro pediátrica

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

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