Volume : VII, Issue : VIII, August - 2018
RAREST AMONG THE RARE - PYLORIC ATRESIA - A CASE SERIES
Dr D Vembar, Dr V Rohit Gopinath, Prof J Muthukumaran
Abstract :
Gastric outlet obstruction in a neonate can occur due to several aetiologies. Here I am presenting 4 cases of the same. 1 is a case
of a 4 days old male child who was ought with complaints of persistent non bilious vomiting since D1 of life. Examination
revealed the presence of visible gastric peristalsis. X ray abdomen done showed the presence of a dilated stomach with absent
distal gas shadow. USG abdomen done showed normal SMV SMA axis. Intraoperatively a type B pyloric atresia was noted for
nd which a gastroduodenostomy was done. Post operative period was uneventful and the child was discharged on POD 8. 2 is a
case of a 12 days old male child who was admitted with complaints of respiratory distress and was intubated for the same .Child
was extubated on day 10 and was started on oral feeds, following which the child had persistent vomiting which was non bilious .
X ray abdomen taken showed a dilated stomach with paucity of distal gas shadow. Barium meal follow through done showed
stasis of contrast in the stomach even in 6 hrs. Child was taken up for a laparotomy and was found to have a type A pyloric atresia.
Gastrotomy was done and the memane was excised. Post op child continued to have vomiting and underwent a repeat barium
study which showed stasis in the stomach. Child was then taken up for a laparotomy and a gastrojejunostomy was done. Child
was discharged and is on follow up. Among the entire spectrum of anomalies causing GOO, pyloric atresia is a very rare condition
(1 in 100,000 newborns) Successful management is dependent on the early recognition of the entity and appropriate surgical
intervention, optimum post–operative care and absence of associated anomalies.
Article:
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DOI : https://www.doi.org/10.36106/paripex
Cite This Article:
Dr D Vembar, Dr V Rohit Gopinath, Prof J Muthukumaran, RAREST AMONG THE RARE‾PYLORIC ATRESIA‾A CASE SERIES, PARIPEX‾INDIAN JOURNAL OF RESEARCH : Volume-7 | Issue-8 | August-2018
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References :
Dr D Vembar, Dr V Rohit Gopinath, Prof J Muthukumaran, RAREST AMONG THE RARE‾PYLORIC ATRESIA‾A CASE SERIES, PARIPEX‾INDIAN JOURNAL OF RESEARCH : Volume-7 | Issue-8 | August-2018