Adult hypertrophic pyloric stenosis: case report and review.

Abstract

A case of adult hypertrophic pyloric stenosis presented in an older female with no apparent predisposing factors which might be likely to precipitate the condition. There was a history of chronic dyspepsia and occasional episodes of vomiting. No contributory medical history was identified. Barium swallow and follow through showed a markedly reduced emptying time of the stomach. A partial gastrectomy was eventually done and on histopathological examination a diagnosis of adult hypertrophic pyloric stenosis was made.

Idiopathic Hypertrophic Pyloric Stenosis Combined with Left Paraduodenal Hernia in an Adult

“…Zavala et al [1] reported on a family with both congenital and adult type of hypertrophic pyloric stenosis. This assumption is further supported by the fact that almost 80% of the patients with primary adult hypertrophic pyloric stenosis are men, which is in accordance with the male predominance of congenital pyloric stenosis [1,6,7] .…”

“…Probably there is no common etiopathogenetic background that could connect these two congenital conditions. However, congenital hypertrophic pyloric stenosis has been described in association with other congenital anomalies, such as congenital mesoblastic nephroma, nephrocalcinosis, recessive polycystic kidney disease, penile agenesis, jejunal atresia, congenital short bowel, congenital diaphragmatic hernia and congenital hypothyroidism [1,7] .…”

Hypertrophic Pyloric Stenosis in an Adolescent

“…1 In adult patients, causes of pyloric obstruction can be either primary or secondary, with the later most common. 3 Secondary causes include peptic ulcer disease, hiatal hernia, carcinoma, or inflammatory bowel disease. 2 In a series of 100 patients admitted for gastric outlet obstruction, Quigley and colleagues reported that hypertrophic pyloric stenosis was responsible for the obstruction in only 1 patient.…”

Congenital Anomalies of the Gastrointestinal Tract Diagnosed in Adulthood—Diagnosis and Management

“…This hypothesis is further supported by the fact that approximately 80% of patients with the adult form of the disease are men, which is in accordance with the male predominance of congenital pyloric stenosis. 3 In addition, this form of primary pyloric stenosis should be differentiated from the secondary form, which is caused by other diseases of the gastrointestinal tract, such as peptic ulcer disease, hypertrophic gastritis, or malignancy. 4 In the adult idiopathic hypertrophic pyloric stenosis (AIHPS), the pylorus is bulbous or fusiform, with its thickest portion at the pyloroduodenal junction 5 (Fig.…”