Liu Xiuping, Fonnest Gert
Røntgenafdelingen, Hvidovre Hospital, 2650 Hvidovre, Denmark.
Ugeskr Laeger. 2011 Jun 6;173(23):1657-8.
A case of gastric outlet obstruction secondary to prepyloric antral web in a four-year-old boy with cerebral pareses is reported. Routine roentgenographic examination was initially misinterpreted as duodenal obstruction. Prepyloric antral web was suspected by subsequent endoscopy and was confirmed by operation. The patient underwent antropyloroplasty that resulted in excellent recovery. The possibility of a prepyloric antral web should be considered in any infant or child with persistent vomiting when pyloric stenosis is excluded.
本文报告了一例4岁患有脑瘫的男孩因幽门前窦部蹼导致胃出口梗阻的病例。常规X线检查最初被误诊为十二指肠梗阻。随后通过内镜检查怀疑为幽门前窦部蹼,并经手术证实。该患者接受了胃幽门成形术,术后恢复良好。对于任何排除幽门狭窄但持续呕吐的婴幼儿,都应考虑幽门前窦部蹼的可能性。