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婴儿期罕见的后天性胃出口梗阻:一例报告

Unusual acquired gastric outlet obstruction during infancy: a case report.

作者信息

Srivastava Pk, Gangopadhyay An, Upadhyaya Vd, Sharma Sp, Jaiman R, Kumar V

机构信息

Department of Pediatric Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, 221005, U,P, India.

出版信息

Cases J. 2008 Oct 15;1(1):237. doi: 10.1186/1757-1626-1-237.

DOI:10.1186/1757-1626-1-237
PMID:18922148
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2576178/
Abstract

Acquired gastric outlet obstruction (GOO) during infancy beyond the neonatal period is a very rare condition when other congenital causes like infantile hypertrophic pyloric stenosis, antral diaphragm, pyloric atresia etc are excluded. We report an unusual case of 6 month old male child who presented with recurrent episode of vomiting not relieved by medication. On gastrograffin study there was pre pyloric stricture of unknown etiology and was managed by stricturoplasty. We are reporting this case because of its rarity and with excellent outcome if diagnosed and managed properly. Even on extensive search of English literature we are not able to find a single report of this lesion in infants.

摘要

在排除诸如婴儿肥厚性幽门狭窄、胃窦隔膜、幽门闭锁等其他先天性病因后,婴儿期(新生儿期之后)获得性胃出口梗阻(GOO)是一种非常罕见的病症。我们报告一例不寻常的病例,一名6个月大男童,反复出现呕吐,药物治疗无效。经泛影葡胺造影检查发现有病因不明的幽门前狭窄,通过狭窄成形术进行了治疗。我们报告此病例是因其罕见性,以及如果诊断和处理得当会有良好的预后。即使广泛查阅英文文献,我们也未能找到关于婴儿期这种病变的单一报道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2531/2576178/2017cef4aad0/1757-1626-1-237-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2531/2576178/f19ae12bf8a8/1757-1626-1-237-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2531/2576178/42d2bad21445/1757-1626-1-237-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2531/2576178/8e85f33dcb43/1757-1626-1-237-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2531/2576178/2017cef4aad0/1757-1626-1-237-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2531/2576178/f19ae12bf8a8/1757-1626-1-237-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2531/2576178/42d2bad21445/1757-1626-1-237-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2531/2576178/8e85f33dcb43/1757-1626-1-237-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2531/2576178/2017cef4aad0/1757-1626-1-237-4.jpg

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Rare causes of gastric outlet obstruction in children.儿童胃出口梗阻的罕见病因。
Pediatr Surg Int. 2005 Aug;21(8):635-40. doi: 10.1007/s00383-005-1472-z. Epub 2005 Oct 13.
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一名16岁女孩因消化性溃疡疾病继发胃出口梗阻,此前被误诊为特发性肥厚性幽门狭窄:病例报告
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Acquired gastric outlet obstruction during infancy and childhood: a report of five unusual cases.婴儿期和儿童期获得性胃出口梗阻:5例罕见病例报告
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