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Rare disease
CASE REPORT
Hypertrophic pyloric stenosis following repair of oesophageal atresia and tracheo-oesophageal fistula in a neonate
  1. Ozkan Ilhan1,
  2. Meltem Bor1,
  3. Tansel Gunendi2,
  4. Mustafa Erman Dorterler2
  1. 1Department of Neonatology, School of Medicine, Harran University, Sanliurfa, Turkey
  2. 2Department of Pediatric Surgery, School of Medicine, Harran University, Sanliurfa, Turkey
  1. Correspondence to Professor Ozkan Ilhan, ozkanilhan-83{at}hotmail.com

Summary

Development of hypertrophic pyloric stenosis (HPS) after a few weeks of repair of an oesophageal atresia (OA) and tracheo-oesophageal fistula (TOF) is a rare condition in early infancy. Although vomiting or feeding intolerance in operated cases of OA+TOF are attributed to oesophageal stricture, gastro-oesophageal reflux and oesophageal dysmotility, it may also be caused by HPS. Herein, we report a newborn infant who had OA and TOF operation on day 2 of life and diagnosed to have HPS at 15th day of age. Even though it is a rare anomaly, HPS should be kept on mind in the presence of persistent vomiting following repair of OA.

  • neonatal intensive care
  • paediatric surgery
  • gastrointestinal surgery
  • ultrasonography

https://doi.org/10.1136/bcr-2018-226292

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    Footnotes

    • Contributors OI: was the first author of the manuscript and undertook most of the literature review. MB: revised the content and accepts responsibility for the over all content as a guarantor. MED: performed the surgery to repair oesophageal atresia. TG: performed the surgery to repair pyloric stenosis and provided the intraoperative images. TG, MED: reviewed and amended the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Parental/guardian consent obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.