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Case Reports: Unusual presentation of more common disease/injury
Subtotal pyloric obstruction by atypical hypertrophic pyloric muscle in a newborn
  1. Christopher James Brown1,
  2. Patrick C Bonasso2 and
  3. Federico G Seifarth2
  1. 1Department of Surgery, WVU Medicine, Morgantown, West Virginia, USA
  2. 2Division of Pediatric Surgery, WVU Medicine Children's Hospital, Morgantown, West Virginia, USA
  1. Correspondence to Dr Federico G Seifarth; Federico.seifarth{at}hsc.wvu.edu

Abstract

This is a case of a neonate with suspected duodenal atresia on prenatal imaging. However, distal bowel gas was identified postnatally on regular X-rays with a possible pyloric obstructing mass visualised on ultasound. No contrast was visualised passing through the stomach on fluoroscopic studies. Operative evaluation revealed an atypical asymmetric hypertrophic pylorus with exophytic lesions of ectopic glandular tissue. Longitudinal open pyloromyotomy was performed which relieved the gastric obstruction resulting in symptomatic relief without any anatomy altering procedure required.

  • Congenital disorders
  • Developmental paediatrics
  • Paediatric Surgery
  • Gastrointestinal system

https://doi.org/10.1136/bcr-2023-256002

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    Footnotes

    • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms and critical revision for important intellectual content: FGS, CJB and PCB. The following authors gave final approval of the manuscript: FGS, CJB and PCB.

    • 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.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

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