Primary hypertrophic pyloric stenosis in the adult

Ikenaga, Tuyoshi; Honmyo, Ubehiko; Takano, Sadamu; Murakami, Akinobu; Harada, Kazunori; Mizumoto, Seiichi; Yoshinaka, Ichiro; Hirata, Tomomi; Maeda, Masaomi; Kiyohara, Hideo; Misumi, Atsunobu

doi:10.1111/j.1440-1746.1992.tb01032.x

Cited by 13 publications

(8 citation statements)

References 13 publications

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“…A mild form of congenital pyloric stenosis may occasionally present later in adult life. 1 The exact occurrence of this form cannot be estimated accurately, since the majority of these patients are asymptomatic for years. Zavala et al 2 reported on a family with both congenital and adult type of hypertrophic pyloric stenosis.…”

Section: Adult Idiopathic Hypertrophic Pyloric Stenosismentioning

confidence: 99%

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

Vaos

Misiakos

2010

Journal of Gastrointestinal Surgery

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When detected in adulthood, they may require different evaluation and surgical correction. Some of these anomalies should be managed surgically as soon as they cause symptoms. Others may cause persistent problems in adulthood requiring medical management for years. Herein, we present a comprehensive review of all the different ways of diagnosis and management of these anomalies reported in the literature.

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Section: Adult Idiopathic Hypertrophic Pyloric Stenosismentioning

confidence: 99%

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

Vaos

Misiakos

2010

Journal of Gastrointestinal Surgery

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“…On endoscopic finding, torus hyperplasia reveals as submucosal tumor since it arise from circular muscle consisting the pyloric canal which makes it hard to diagnose through endoscopic biopsy (6, 8). In addition, it is usually misdiagnosed as carcinoma of the antrum (6). Although recent progress of endoscopic ultrasonography and endoscopic resection had been made, it is hard to diagnose only with the aid of endoscopic procedures.…”

Section: Discussionmentioning

confidence: 99%

“…In the absence of the symptoms, no clinical treatment is required, and resection is advocated only when stenosis gives rise to symptoms or when a malignancy is suspicious (6, 8). Although endoscopic dilatation or laparascopic hypertrophy have been reported as alternative treatments (9, 10), distal gastrectomy with gastroduodenostomy is still the main therapy for final diagnosis and treatment.…”

Section: Discussionmentioning

confidence: 99%

“…Although there are some typical findings (i.e., recognizable radiologically by narrowing and enlongation of the pyloric cancal and endoscopically by appearances resembling those of the cervix so called characteristic pyloric "cervix sign") in this benign disease (6, 7), it is difficult to confirm without resection. Moreover, it is hard to predict the prevalence of the disease because of its' rarity (3).…”

Section: Introductionmentioning

confidence: 99%

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Torus Hyperplasia of the Pyloric Antrum

et al. 2010

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Primary or idiopathic hypertrophy of the pyloric muscle in adult, so called torus hyperplasia, is an infrequent but an established entity. It is caused by a circular muscle hypertrophy affecting the lesser curvature near the pylorus. Since most of the lesions are difficult to differentiate from tumor, distal gastrectomy is usually preformed to rule out most causes of pyloric lesions including neoplastic ones through a pathological study. A 56-yr-old man with a family history of gastric cancer presented with abdominal discomfort of 1 month duration. Upper gastrointestinal endoscopy showed a 1.0 cm sized irregular submucosal lesion proximal to the pylorus to the distal antrum on the lesser curvature. On colonoscopy examination, a 1.5 cm sized protruding mass was noticed on the appendiceal orifice. Gastrectomy and cecectomy were done, and histological section revealed marked hypertrophy of the distal circular pyloric musculature and an appendiceal mucocele. To the best of our knowledge, this is the first case of torus hyperplasia with appendiceal mucocele which is found incidentally.

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“…Its clinical manifestations usually become obvious during the first 2 months of life [1] . The presence of pyloric stenosis in adults with characteristics of hypertrophy of the circular muscle layer of the pyloric canal is classified as primary hypertrophic pyloric stenosis and it is considered a mild form of congenital pyloric stenosis revealed in adult life [2] .…”

Section: Introductionmentioning

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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Primary hypertrophic pyloric stenosis in the adult

Cited by 13 publications

References 13 publications

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

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

Torus Hyperplasia of the Pyloric Antrum

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

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