Hypertrophic Pyloric Stenosis in the Adult

Medina, E; Ortí, E; Tomé, A; Martinez, Alejandro; Canelles, P; Quiles, F

doi:10.1055/s-2007-1012951

Cited by 4 publications

(2 citation statements)

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“…Our diagnosis was based on the computed tomographic and intraoperative findings, which were convincing. Partial gastrectomy, gastroenterostomy, pyloromyotomy, pyloroplasty, and endoscopic dilatation are proposed as treatments for primary hypertrophic pyloric stenosis by various authors [10,11] . We decided to perform a pyloromyotomy, in order to avoid a gastrectomy for a benign disease.…”

Section: Discussionmentioning

confidence: 99%

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

Papaziogas¹,

Lazaridis²,

Souparis³

et al. 2007

Med Princ Pract

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Objective: We report a case of primary hypertrophic pyloric stenosis combined with a paraduodenal hernia in a 35-year-old woman. Clinical Presentation and Intervention: The patient presented with signs of obstructive ileus. CT of the abdomen revealed a marked dilatation of the stomach and the proximal jejunum as well as a circumferential thickening of the antral-pyloric region with characteristics indicating hypertrophic pyloric stenosis. Exploratory laparotomy revealed the presence of a paraduodenal hernia containing jejunal loops and marked thickening of the pyloric region. The jejunum was reduced to its normal place and the ostium of the paraduodenal hernia closed with a running suture. The hypertrophic pyloric stenosis was treated with pyloromyotomy. Since the patient had no predisposing factors for the development of secondary pyloric stenosis, we considered the pyloric stenosis as congenital in origin. Conclusion: To our knowledge this is the first reported case of congenital pyloric stenosis combined with the presence of a paraduodenal hernia in an adult.

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Section: Discussionmentioning

confidence: 99%

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

Papaziogas¹,

Lazaridis²,

Souparis³

et al. 2007

Med Princ Pract

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“…However these examinations may not unequivocally exclude other disorders such as cancer and leiomyoma. 2,8320 These signs were also documented but it was not possible to fully visualize the stenotic lesion or perform a biopsy. Therefore a definitive diagnosis could not be reached before operation.…”

Section: Discussionmentioning

confidence: 99%

Primary hypertrophic pyloric stenosis in the adult

Ikenaga

Honmyo

Takano

et al. 1992

J of Gastro and Hepatol

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A case is reported of a 55 year old male patient with primary hypertrophic pyloric stenosis who was subjected to distal gastrectomy. Adult hypertrophic pyloric stenosis is an uncommon condition which is usually misdiagnosed as carcinoma of the antrum. It is a benign disease resulting from hypertrophy of the circular fibres of the pyloric canal and is recognizable radiologically by narrowing and elongation of the pyloric canal and endoscopically by appearances resembling those of the cervix. This condition is probably congenital although aetiology has not been established. In the absence of symptoms, no clinical treatment is required. However, surgical intervention is advocated, when stenosis gives rise to symptoms, there is a suspicion of malignancy, or the ulceration due to the disease. Distal gastrectomy with gastroduodenostomy is the treatment of choice.

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Adult idiopathic hypertrophic pyloric stenosis

Lin

Kuo

2015

Journal of the Formosan Medical Association

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Idiopathic hypertrophic pyloric stenosis (IHPS) is a predominantly infantile disease. The adult type of IHPS is extremely rare but it has been well recognized since the 19(th) century. We report a case of a 47-year-old male patient who presented with postprandial nausea and vomiting. He underwent upper gastrointestinal endoscopy, and gastric outlet obstruction was discovered. The upper gastrointestinal barium study showed a distended stomach with delayed gastric emptying due to pyloric stenosis. The abdominal computed tomography revealed thickening of the distal stomach. Since gastric malignancy could not be excluded, he underwent antrectomy with Billroth I anastomosis. The pathology revealed no malignancy but showed hypertrophy and hyperplasia of the inner circular muscle of the pylorus, which was compatible with IHPS. We reported the case to remind young physicians of this rare disease.

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Hypertrophic Pyloric Stenosis in the Adult

Cited by 4 publications

References 0 publications

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

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

Primary hypertrophic pyloric stenosis in the adult

Adult idiopathic hypertrophic pyloric stenosis

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