Congenital hypertrophic pyloric stenosis of 21 days infant: A case report

Abdul Latif Kurniawan; M. Hidayat Surya Atmaja

doi:10.53730/ijhs.v6nS9.12449

Authors

Abdul Latif Kurniawan
latifkurniawan87@gmail.com
Department of Radiology, Faculty of Medicine, Airlangga University, Dr. Soetomo Hospital, Surabaya, Indonesia
M. Hidayat Surya Atmaja Department of Radiology, Faculty of Medicine Airlangga University, Counsultant Abdominal Imaging Dr. Soetomo Hospital, Surabaya, Indonesia

Keywords:

Hypertrophic pyloric stenosis, infants, newborn, ramstedt pyloromyotomy, human and illness

Abstract

Hypertrophic Pyloric Stenosis (HPS) is a condition that occurs in infants with an abnormally thickened pyloric stomach, presented with a symptom of projectile vomiting. The cause of HPS is still unclear. However, it may occur due to multiple factors, including racial, environmental, and genetic factors, with the incidence of one to two out of 1000 live births. We reported a Hypertrophic Pyloric Stenosis (HPS) case in a 21-day-old baby girl (baby I) with projectile vomiting and yellowish diarrhea about six days before admission, which was recorded to be more than five times a day. The patient was hospitalized at Anwar Medika Hospital for five days before being referred to dr. Soetomo Hospital, Surabaya, and a pyloromyotomy were performed. Physical examination and radiological investigations (plain radiographs, Upper Gastrointestinal (UGI), and ultrasonography (USG)) supported the diagnosis of HPS. Ramstedt pyloromyotomy procedure had been conducted with a diagnosis of post-pyloromyotomy hypertrophic pyloric stenosis.

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References

Adiba AF, Soedarmo SM, Sulistiawati S, Athiyyah AF. Acute Diarrhea Patients among Children Under Five Hospitalized in a Tertiary Hospital in East Java, Indonesia. Folia Medica Indones. 2022;58(1):33.

Cavell B. Gastric emptying in infants fed human milk or infant formula. Acta Paediatr Scand. 1981;70(5):639–41.

Djuraev, A. M., Alpisbaev, K. S., & Tapilov, E. A. (2021). The choice of surgical tactics for the treatment of children with destructive pathological dislocation of the hip after hematogenous osteomyelitis. International Journal of Health & Medical Sciences, 5(1), 15-20. https://doi.org/10.21744/ijhms.v5n1.1813

Ezomike UO, Ekenze SO, Amah CC, Nwankwo EP, Obianyo NE. Infantile hypertrophic pyloric stenosis - Our experience and challenges in a developing country. Afr J Paediatr Surg. 2018;15(1):26–30.

Hernanz-Schulman M. Infantile hypertrophic pyloric stenosis. Radiology. 2003;227(2):319–31.

Iijima S, Ueno D, Baba T, Ohishi A. Hypertrophic pyloric stenosis following persistent pulmonary hypertension of the newborn: a case report and literature review. BMC Pediatr. 2018;18(1):290.

Jobson M, Hall NJ. Contemporary management of pyloric stenosis. Semin Pediatr Surg. 2016;25(4):219–24.

Krogh C, Biggar RJ, Fischer TK, Lindholm M, Wohlfahrt J, Melbye M. Bottle-feeding and the Risk of Pyloric Stenosis. Pediatrics. 2012;130(4):e943-9.

Leaphart CL, Borland K, Kane TD, Hackam DJ. Hypertrophic pyloric stenosis in newborns younger than 21 days: remodeling the path of surgical intervention. J Pediatr Surg. 2008;43(6):998–1001.

MacMahon B. The continuing enigma of pyloric stenosis of infancy: A review. Epidemiology. 2006;17(2):195–201.

Martini, Irwanto, Irawan R, Widjaja NA. Breastmilk macronutrient levels and infant growth during the first three months: A cohort study. Siriraj Med J. 2020;72(1):10–7.

Nmadu PT. Alterations in serum electrolytes in congenital hypertrophic pyloric stenosis: a study in Nigerian children. Ann Trop Paediatr. 1992;12(2):169–72.

Peters B, Oomen MWN, Bakx R, Benninga MA. Advances in infantile hypertrophic pyloric stenosis. Expert Rev Gastroenterol Hepatol. 2014;8(5):533–41.

Roldán-Valadez E, Solórzano-Morales S, Osorio-Peralta S. Imaging diagnosis of infantile hypertrophic pyloric stenosis: report of a case and review of the literature. Rev Gastroenterol Mex. 2007;72(2):126–32.

Said M, Shaul DB, Fujimoto M, Radner G, Sydorak RM, Applebaum H. Ultrasound Measurements in Hypertrophic Pyloric Stenosis : Don't Let the Numbers Fool You. 2012;16(3):25–7.

Satriana, I. M. W. C. (2018). Dilemma on medical treatments: rejection of medical treatments by patients and elements of neglect through perspective of article 304 of criminal law. International Journal of Social Sciences and Humanities, 2(3), 180–186. https://doi.org/10.29332/ijssh.v2n3.228

Sperandeo M, Varriale A, Sperandeo G, Grifoni E, Panza S. Diagnostic imaging in hypertrophic pyloric stenosis. Minerva Pediatr. 1990;42(7–8):277–80.

Sudarmo SM, Shigemura K, Athiyyah AF, Osawa K, Wardana OP, Darma A, et al. Genotyping and clinical factors in pediatric diarrhea caused by rotaviruses: one-year surveillance in Surabaya, Indonesia. Gut Pathog. 2015;7(1):3.

Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2022). Post-pandemic health and its sustainability: Educational situation. International Journal of Health Sciences, 6(1), i-v. https://doi.org/10.53730/ijhs.v6n1.5949

Susanti D, Sustini F. Implementation on Stimulation, Detection, and Early Intervention of Child Growth and Development (Sdidtk) Program in Puskesmas Mojo, Surabaya Still Emphasize on Growth Screening. Folia Medica Indones. 2017;52(1):51.

Takeuchi S, Tamate S, Nakahira M, Kadowaki H. Esophagitis in infants with hypertrophic pyloric stenosis: a source of hematemesis. J Pediatr Surg. 1993;28(1):59–62.

Tiao M-M, Tsai S-S, Kuo H-W, Yang C-Y. Epidemiological features of infantile hypertrophic pyloric stenosis in Taiwan: a national study 1996-2004. J Gastroenterol Hepatol. 2011;26(1):78–81.