Gastric outlet obstruction secondary to peptic ulcer disease, previously misdiagnosed as idiopathic hypertrophic pyloric stenosis in a 16-year-old girl: a case report

Notue, Yves Alain; Mbessoh, Ulrich Igor; Tientcheu, Tim Fabrice; Moifo, Boniface; Mefire, Alain Chichom

doi:10.1093/jscr/rjaa232

Cited by 3 publications

(2 citation statements)

References 9 publications

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“…In recent years, a growing number of researchers have recommended endoscopic therapy as an alternative to surgery for the initial treatment of ulcerative scarring pyloric obstruction in children [ 26 ] and as the initial treatment of pediatric ulcerative pyloric obstruction. [ 3 ] Balloon dilatation and endoscopic electrocautery are the main treatment modalities. In some cases, endoscopic therapy has been shown to be better than surgical intervention.…”

Section: Discussionmentioning

confidence: 99%

“…In recent years, its incidence has increased because of the extensive use of gastrointestinal endoscopy, but it remains extremely rare. [ 3 ] There are only 1 in 100,000 cases from 1967 to date worldwide. [ 4 ] Here, we present a case study of scarring pyloric stenosis caused by gastric ulcer, along with comprehensive treatment instructions and related medical documentation for study and reference.…”

Section: Introductionmentioning

confidence: 99%

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Pyloric stenosis secondary to peptic ulcer disease in pediatric patients: A case report and review of the literature

et al. 2023

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Rationale: Pediatric pyloric obstruction is a condition characterized by complete or incomplete obstruction of the distal stomach caused by obstructive lesions of the distal stomach, pyloric duct, or proximal duodenum. Congenital hypertrophic pyloric stenosis is the most common cause of pediatric pyloric obstruction, whereas acquired pyloric stenosis is comparatively rare, with peptic ulcer disease being the most common cause. Patient concerns: We describe a case of a 5-year-old girl who had peptic ulcer disease and developed scarring pyloric stenosis. We also give comprehensive details of the diagnosis and course of treatment. Diagnosis: Intraoperative findings revealed ulcerative, scarring pyloric obstruction. Interventions: Conservative treatment failed and surgery was subsequently performed. Outcomes: No further vomiting symptoms occurred after surgery. And 3 months after surgery, the patient had gained weight on average and had no further complaints. Lessons: Although scarring pediatric pyloric blockage due to peptic ulcer is less common, emphasis should be placed on rapid diagnosis by accurate gastroscopy, barium meal of the gastrointestinal tract, or ultrasonography. Depending on the patient’s condition, conservative treatment or surgery should be chosen carefully selected.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Pyloric stenosis secondary to peptic ulcer disease in pediatric patients: A case report and review of the literature

et al. 2023

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Chronic pyloric obstruction caused by Flammulina mushroom: A rare case report

Liu,

Wu,

Wang

et al. 2024

Medicine

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Rationale: We report a rare case of chronic pyloric obstruction lasting 4 years. During the endoscopy examination, the cause was found to be foreign matter blocking the pylorus. We assessed the patient’s medical history and ultimately considered chronic pyloric obstruction caused by blockage of the Flammulina mushroom. Patient concerns: A man in his early 30 presented to the emergency department of the hospital due to recurrent vomiting for 4 years that had aggravated for 2 days. Diagnoses: Emergency CT indicated enlargement of the gastric cavity, numerous gastric contents in the gastric cavity, and suspicion of pylorus or duodenal bulb stenosis on imaging. Laboratory findings showed metabolic alkalosis and hypokalemia. When the gastroscope reached the antrum, the endoscopic doctor found a disc-shaped brown object (Flammulina mushroom) in the posterior wall of the posterior antrum. Interventions: A snare was used to remove the Flammulina mushroom through the endoscopy. Outcomes: The patient’s gastric emptying completely resolved, and no vomiting symptoms recurred after 1 month of follow-up. Lessons: For young men with a history of digestive disease, when gastric retention occurs, doctors are more inclined to diagnose the obstruction caused by the ulcer based on their subjective consciousness. This is a case that did not follow this expectation. Some food without sufficient chewing couldn’t be easily digested by gastric acid.

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Chronic obstruction of the stomach as a result of congenital malformation in a child of 1 year 10 months. Case report

Schneider

Tsap

Gaydysheva

et al. 2023

Russian Journal of Pediatric Surgery, Anesthesia and Intensive

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Congenital malformation of the gastrointestinal tract in a rare case can cause partial obstruction and masquerade as functional disorders of the intestine for a long time. Atypical clinic of membranous gastric obstruction causes difficulties in diagnosis and determination of treatment tactics. The aim to determine and present to the surgical community the features of diagnosis, surgical treatment, possible complications of a rare malformation of the stomach in children in the form of a stomach membrane. The paper presents a clinical case of the stomach membrane in a child 1 year 10 months old with complaints of vomiting after each meal, bloating, lethargy for one month. The results of ultrasonography, X-ray examination with the passage of a contrast agent through the gastrointestinal tract, fibrogastroduodenoscopy established anatomical changes in the stomach in the form of pyloric stenosis up to 0.40.5 cm in diameter. Intraoperative revision of the stomach, supplemented by intraluminal endoscopic support, made it possible to reliably establish the presence of a perforated pyloric membrane. The membrane is radically cut along the entire circumference at the level of its base. The next postoperative period was uneventful. After 1.5 months, the child was again admitted to the pediatric surgical department on an emergency basis with a clinic of intestinal obstruction, including the childs anxiety, repeated vomiting, and bloating. X-ray and endoscopic picture corresponded to the diagnosis of cicatricial stenosis of the pyloric part of the stomach. Taking into account the presence of cicatricial deformity, due to the high risk of complications during resection of the stenotic part of the stomach and the imposition of gastroduodenoanastomosis, a bypass retrocolic gastrojejunoanastomosis with Brown fistula was formed. When examining a child of a child in the late postoperative period, no complications were identified. The presented clinical case confirms that congenital malformations of the gastrointestinal tract in the form of stenoses and membranes can have a long stage of compensation, their diagnosis is based on a comprehensive examination of the child using radiopaque and endoscopic studies.

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Gastric outlet obstruction secondary to peptic ulcer disease, previously misdiagnosed as idiopathic hypertrophic pyloric stenosis in a 16-year-old girl: a case report

Cited by 3 publications

References 9 publications

Pyloric stenosis secondary to peptic ulcer disease in pediatric patients: A case report and review of the literature

Pyloric stenosis secondary to peptic ulcer disease in pediatric patients: A case report and review of the literature

Chronic pyloric obstruction caused by Flammulina mushroom: A rare case report

Chronic obstruction of the stomach as a result of congenital malformation in a child of 1 year 10 months. Case report

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