Aggarwal Mukul, Sood Vikrant, Kumar Abhishek, Saurabh Kumar
Department of Pediatrics, VMMC and Safdarjang Hospital, New Delhi, India.
Ann Gastroenterol. 2012;25(3):262-264.
A 3.5-year-old grossly cachectic female child presenting with recurrent vomiting, fever, abdominal distention, abdominal pain and severe weight loss was evaluated for the cause of severe protein energy malnutrition. Investigation revealed a massively dilated stomach with delayed gastric emptying and normal pylorus. On exploratory laparotomy, diagnosis of primary acquired gastric outlet obstruction (Jodhpur disease) was confirmed and she underwent pyloroplasty with uneventful post-operative period. To conclude, this entity should always be included in the differential diagnosis of gastric outlet obstruction with severe malnutrition especially in older children.
一名3.5岁严重消瘦的女童，出现反复呕吐、发热、腹胀、腹痛及严重体重减轻，针对严重蛋白质能量营养不良的病因进行了评估。检查发现胃极度扩张，胃排空延迟，幽门正常。在剖腹探查术中，确诊为原发性获得性胃出口梗阻（焦特布尔病），她接受了幽门成形术，术后恢复顺利。总之，在鉴别诊断伴有严重营养不良的胃出口梗阻时，尤其是年龄较大的儿童，应始终考虑到这种疾病。
