Gastric outlet obstruction in an 11‐year‐old girl: A case report

Author:

Figueiredo Ana Sofia1ORCID,Soares‐Aquino Carolina2,Amorim Rita3,Melão Lina4,Espinheira Céu5,Pais Isabel Pinto5,Campos Miguel2,Trindade Eunice5

Affiliation:

1. Department of Pediatrics Centro Hospitalar Trás os Montes e Alto Douro Vila Real Portugal

2. Department of Pediatric Surgery Centro Hospitalar Universitário São João Porto Portugal

3. Department of Pediatrics Centro Hospitalar Universitário São João Porto Portugal

4. Department of Radiology Centro Hospitalar Universitário São João Porto Portugal

5. Department of Pediatric Gastroenterology Centro Hospitalar Universitário São João Porto Portugal

Abstract

AbstractPyloric 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.

Publisher

Wiley

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