Lippert M M
S Afr Med J. 1986 Mar 29;69(7):446-7.
A 17-day-old infant with pyloric stenosis presenting with severe neonatal jaundice is described. The bilirubin level rose to 371 mumol/l and an exchange transfusion was considered. No history of frequent or forceful vomiting was given and the usual symptoms and signs of pyloric stenosis were absent. Radiographic studies revealed features typical of hypertrophic pyloric stenosis. At laparotomy a pyloromyotomy was performed and the jaundice subsided rapidly.
本文描述了一名17日龄患有幽门狭窄并伴有严重新生儿黄疸的婴儿。胆红素水平升至371μmol/l，考虑进行换血治疗。患儿无频繁或强力呕吐史，也没有幽门狭窄的常见症状和体征。影像学检查显示出肥厚性幽门狭窄的典型特征。剖腹手术时进行了幽门肌切开术，黄疸迅速消退。
