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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
ANTRAL WEB WITH GASTRIC OUTLET OBSTRUCTION (GOO) MIMICKING INFANTILE HYPERTROPHIC PYLORIC STENOSIS, A CASE REPORT
Author
Maruthi CH*, Shankar Kallappa Torase, Sasi Dharan
Email
maruthi.iaps@gmail.com
keyword
Gastric Outlet Obstruction (GOO), Failure to thrive, Infantile Hypertrophic Pyloric Stenosis (IHPS), Ultrasonography, Pyloroplasty.
Abstract
Congenital antral web is a rare but important cause of prepyloric obstruction or GOO in neonates. It is a thin mucosal diaphragm present at 1-3cm from the pyloroduodenal junction with a 2-30mm orifice. This condition is present in nearly 1 in 100,000 births. Misdiagnosis or delayed diagnosis is common due to rarity of the condition and leads to failure to thrive. Here we present a case of 18 month old male child, who presented with postprandial vomiting since birth and failure to thrive(4.5 kg) with no loss in appetite. The baby was born to a non consanguineous couple, non diabetic, P3L2 mother, at 38 weeks of gestation with a birth weight of 1.8kg .On examination a poorly built (failure to thrive) and malnourished child with visible gastric peristalsis(VGP). Child evaluated in other hospital with upper GI endoscopy showed narrowed pylorus ? Infantile Hypertrophic Pyloric Stenosis (IHPS). Ultrasound abdomen was normal and X ray showed a dilated stomach with reduced distal small bowel gas. Patient twice diagnosed as IHPS in different hospitals. Baby underwent balloon dilatation in outside hospital. Post procedure presented to us with persisting symptoms. At our hospital Patient underwent laparotomy with a excision of the web and Heineke Mikulicz pyloroplasty. Post operative patient recovered well.
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