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Case Reports
. 2021 Jan;9(1):e20-e22.
doi: 10.1055/s-0041-1723017. Epub 2021 Mar 3.

Delayed Diagnosis of a Pyloric Web Causing Gastric Outlet Obstruction in a 13-Month-Old Girl

Affiliations
Case Reports

Delayed Diagnosis of a Pyloric Web Causing Gastric Outlet Obstruction in a 13-Month-Old Girl

Mohammed Elifranji et al. European J Pediatr Surg Rep. 2021 Jan.

Abstract

Pyloric web is a rare cause of gastric outlet obstruction. Classical pyloric web can be diagnosed by obtaining a patient history, physical examination, and plain abdominal X-ray, whereas a perforated web leads to incomplete intestinal obstruction. Delayed diagnosis is rare, and the definite diagnosis is made by upper endoscopy. In this report, we report a case of a girl in whom a pyloric web was diagnosed at the age of 13 months.

Keywords: atresia; gastric outlet obstruction; pyloric web.

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Conflict of interest statement

Conflict of Interest None declared.

Figures

Fig. 1
Fig. 1
Ultrasound of the abdomen showing a grossly distended stomach. ( A ) and normal pylorus without thickening ( B ).
Fig. 2
Fig. 2
Upper gastrointestinal contrast showing delayed passage of contrast from the stomach into the duodenum.
Fig. 3
Fig. 3
Esophagogastroduodenoscopy showing a pyloric web with a tiny hole and inflammation in the stomach.

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References

    1. Otjen J P, Iyer R S, Phillips G S, Parisi M T. Usual and unusual causes of pediatric gastric outlet obstruction. Pediatr Radiol. 2012;42(06):728–737. - PubMed
    1. Nawaz A, Matta H, Jacobsz A, Al-Salem A. Congenital pyloric atresia and junctional epidermolysis bullosa: a report of two cases. Pediatr Surg Int. 2000;16(03):206–208. - PubMed
    1. Ilce Z, Erdogan E, Kara C. Pyloric atresia: 15-year review from a single institution. J Pediatr Surg. 2003;38(11):1581–1584. - PubMed
    1. Okoye B O, Parikh D H, Buick R G, Lander A D. Pyloric atresia: five new cases, a new association, and a review of the literature with guidelines. J Pediatr Surg. 2000;35(08):1242–1245. - PubMed
    1. Knouff S, Klein A, Kaminski M. Pyloric atresia in the neonate. Neonatal Netw. 2014;33(06):329–335. - PubMed

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