El Aissaoui Fatine, Salhi Hanane, Ammor Abdelouhab, Benhaddou Houssain
Department of Pediatric Surgery, Mohammed VI University Hospital, Oujda, MAR.
Cureus. 2022 Jun 12;14(6):e25876. doi: 10.7759/cureus.25876. eCollection 2022 Jun.
Gastric outlet obstruction (GOO) is unusual and must be suspected in children with chronic vomiting and abnormal weight status. The treatment depends on etiology, and surgery is not always the first remedy. Diagnosis is easily confirmed by upper gastrointestinal fibroscopy.We report the case of an 11-year-old girl, who was presented with non-bilious emesis and weight loss. Abdominal computed tomography, ultrasound, and upper gastrointestinal fibroscopy showed dilated stomach with pyloric stenosis, which was confirmed by abdominal laparoscopic exploration and cured by Heineke-Mikulicz pyloroplasty. We also compare our study to previously reported cases.
胃出口梗阻(GOO)并不常见,对于有慢性呕吐和体重异常的儿童必须怀疑有该病症。治疗取决于病因,手术并不总是首选治疗方法。通过上消化道纤维内镜检查很容易确诊。我们报告一例11岁女孩的病例,她出现非胆汁性呕吐和体重减轻。腹部计算机断层扫描、超声检查和上消化道纤维内镜检查显示胃扩张伴幽门狭窄,经腹部腹腔镜探查得以证实,并通过海涅克-米库利奇幽门成形术治愈。我们还将我们的研究与先前报道的病例进行了比较。