Simple and complicated hypertrophic pyloric stenosis in the adult

Adult Idiopathic Hypertrophic Pyloric Stenosis- A Diagnostic Challenge for Surgeons

“…The pathological anatomy of AIHPS was originally reported in 1842, and in 1885, Maier et al validated it as a distinct illness [5]. We provide a case to illustrate this condition that is challenging to diagnose but likely treatable [6].…”

Hypertrophic pyloric stenosis: adult and congenital types occurring in the same family.

“…Another first cousin (III.1) had had a long history of vomiting but a barium meal study failed to reveal any abnormality. The propositus' brother (III.4) and another first cousin (III.8) were treated medically for 126 Though only few cases with adult pyloric stenosis have symptoms from infancy (North and Johnson, 1950;Keynes, 1965;Hiebert and Farris, 1966;Du Plessis, 1966;Strange, 1967), the adult variety may still have the same origin as the congenital type if, E4.} as suggested by McConnell (1966), the adult disease is not severe enough to give obstructing symptoms in infancy.…”

“…Others (Atkinson et al, 1957) have suggested that prolonged spasms of the pylorus could lead to thickening of the pyloric muscle, but there is little evidence to support this. It is also held that the primary adult form of hypertrophic pyloric stenosis is the same condition as that of the congenital one, but milder in severity and of late expression (MacCann and Dean, 1950;North and Johnson, 1950;Keynes, 1965;McConnell, 1966)-a view supported by the presence of reports of cases of adult and of congenital hypertrophic pyloric stenosis occurring in one and the same family.…”

Stenosis due to duodenal ulceration

“…Second to this is carcinoma of the gastric antrum. Other causes are rare and include benign gastric tumours, adult pyloric hypertrophy (Keynes, 1965), the reticuloses (Cornes and Jones, 1962), ectopic pancreatic tissue at the pylorus (Tonkin, Field and Wykes, 1962) pre-pyloric mucosal diaphragm (Conway, 1965;Gerber, 1965), adhesions between the duodenum and either an inflammed gall bladder or the liver bed following cholecystectomy (Ger, 1964) and invasion of the duodenum from an adjacent carcinoma of the pancreas.…”