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Infant presenting with pyloric stenosis and autosomal recessive polycystic kidney disease at 36 weeks’ postmenstrual age (PMA)
  1. Tatiana A Nuzum1,
  2. I Thomas Cohen2,
  3. Christina Ferrucci - Da Silva1 and
  4. Erin Qualter1
  1. 1Pediatrics, Monmouth Medical Center, Long Branch, New Jersey, USA
  2. 2Pediatric Surgery, Monmouth Medical Center, Long Branch, New Jersey, USA
  1. Correspondence to Dr Tatiana A Nuzum; tatiananuzum{at}rcsi.ie

Abstract

This case report describes a premature male infant born after a pregnancy complicated by oligohydramnios of unknown aetiology but otherwise unremarkable prenatal scans. He had sudden onset of projectile emesis and severe hypertension in the third week of life, and further investigations revealed both pyloric stenosis and polycystic kidneys, at just 36 weeks’ postmenstrual age (PMA). His course thereafter was complicated by severe refractory hypertension requiring multiple antihypertensive agents in order to gain control, although his renal function remained normal. Few case reports have previously described this unusual association, but none have presented with both entities at such an early PMA.

  • materno-fetal medicine
  • neonatal and paediatric intensive care
  • neonatal health
  • chronic renal failure

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Footnotes

  • Contributors EQ and CF-D guided the care of this infant while he was in the neonatal intensive care unit. ITC performed his surgeries. TAN was an active participant in his care, performed the literature review and compiled the initial draft. TAN and EQ generated the idea to formulate the case report. EQ, CF-D and ITC all participated in the review and finalisation of the draft for submission.

  • 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.

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

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