Article Text

Rare disease
An asymptomatic presentation of gastric outlet obstruction secondary to congenital antral web in an extremely preterm infant
  1. Sunit V Godambe1,
  2. Parvez Boriana2,
  3. Sigmund H Ein3,
  4. Vibhuti Shah4
  1. 1
    Imperial College Healthcare NHS Trust, Division of Neonatology, Winnicott Baby Unit, St Mary’s Hospital, London W2 1NY, UK
  2. 2
    New York Medical College, Department of Paediatrics, Maria Fareri Children’s Hospital, Westchester Medical Center, Valhalla, New York, NY 10595, USA
  3. 3
    Hospital for Sick Children, Paediatric Surgery, 1526, 555 University Avenue, Toronto, Ontario, M5G 1X8, Canada
  4. 4
    Mount Sinai Hospital, Department of Paediatrics, 775A, 600 University Avenue, Toronto, Ontario, M5G 1X8, Canada
  1. Sunit V Godambe, sunit.godambe{at}


A case of gastric outlet obstruction secondary to antral web in a preterm infant born at 25 weeks gestation is reported. The diagnosis was suspected on plain abdominal radiograph performed postnatally to confirm position of the umbilical catheters. On the initial radiograph (at age 1 h), a dilated stomach with a gasless abdomen was noted. A repeat chest and abdominal radiograph performed 24 h later due to increased ventilatory requirements showed persistence of this finding and upper gastrointestinal obstruction was suspected. An upper gastrointestinal contrast study confirmed the diagnosis of gastric outlet obstruction. The infant underwent a curative pyloroplasty on day 11 of life. The postoperative course was uneventful.

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  • Competing interests: none.

  • Patient consent: Patient/guardian consent was obtained for publication