Fritz Schneble (Regensburg)  

Viewable for logged on visitors (Log on)  

7 Weeks  

Male  

GI-Stomach  

unknown  

7 week old boy, increasing projectile vomiting for about a week. Dehydration starting. Blood gases and electrolytes are normal.  

N/A  

<- view Ultrasound 1

Ultrasound 1: Stomach is filled with fluid. Distally, though, an obvious thickened and distended Canalis pyloricus with hypertrophy of the muscularis is seen.



<- view Ultrasound 2

Ultrasound 2: Pyloric region in 2 views: Pyloric canal 17 mm long, musculature thickness 4.9 mm. Through observance of the stomach's outlet, an increased peristalsis and an absence of (or rather difficult) passage of fluid through the pyloric muscle.

 

Surgery / Histo  

Antrum thickening resulting from an eosinophilic gastritis  

In the laparotomy, the diagnosis of hypertropy of the pylorus musculature was confirmed. Pylorotomy.

After the pylorotomy was done, an uncomplicated course was observed.  

Video sequence (1.9 MB):
While observing the gastric outlet it shows an increased gastric peristalsis and a lack or rather a significantly inhibited passage of fluid through the Pylorus.
Watch Video  

N/A  

N/A  

Pylorus hypertrophy, hypertrophic pylorus stenosis, hypertrophic pyloric stenosis, pyloric hypertrophy, projectile vomiting, projectile emesis, child, childhood, pediatric radiology  

Fritz Schneble. Hypertrophic Pyloric Stenosis. PedRad [serial online] vol 5, no. 5.
URL: www.PedRad.info/?search=20050527151844