一名14周龄足月男婴的迟发性肥厚性幽门狭窄
Late-Onset Hypertrophic Pyloric Stenosis in a 14-Weeks-Old Full Term Male Infant.
作者信息
Pogorelić Zenon, Čagalj Ivana Čulo, Žitko Vanda, Nevešćanin Ana, Krželj Vjekoslav
机构信息
Department of Pediatric Surgery, University Hospital of Split, Split, Croatia.
University of Split, School of Medicine, Split, Croatia.
出版信息
Acta Medica (Hradec Kralove). 2019;62(2):82-84. doi: 10.14712/18059694.2019.108.
BACKGROUND
Hypertrophic pyloric stenosis is the most common cause of gastric outlet obstruction in infants, and classically presents at 2 to 6 weeks of age. Delayed presentation is an extremely rare occurrence after early infancy.
CASE REPORT
A 14-weeks-old full term male infant presented with non-bilious vomiting, dehydration and hypocloremic metabolic alkalosis. Abdominal ultrasonography revealed tubular mass 20 mm in lenght. Because of unusual age, diagnosis was confirmed with upper gastrointestinal contrast study. Laparoscopic pyloromyotomy was performed. After surgery the child was free of symptoms, had gained weight, and was tolerating a regular diet. Message: Despite the age hypertrophic pyloric stenosis should be kept in mind in any child who presents with non-bilious vomiting.
背景
肥厚性幽门狭窄是婴儿胃出口梗阻最常见的原因，典型表现为2至6周龄。婴儿早期后延迟出现极为罕见。
病例报告
一名14周龄的足月男婴出现非胆汁性呕吐、脱水和低氯性代谢性碱中毒。腹部超声显示长度为20毫米的管状肿块。由于年龄不寻常，通过上消化道造影检查确诊。进行了腹腔镜幽门肌切开术。手术后，患儿无症状，体重增加，能耐受正常饮食。要点：对于任何出现非胆汁性呕吐的儿童，无论年龄大小，都应考虑肥厚性幽门狭窄。
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