Veyrac C, Couture A, Bongrand A F, Baud C, Ferran J L
Service de Radiologie Pédiatrique, Hôpital Arnaud-de-Villeneuve, F-34295 Montpellier Cedex 5, France.
Pediatr Radiol. 1996;26(6):402-4. doi: 10.1007/BF01387314.
A 1-month-old infant presented with a typical pattern of pyloric stenosis but US revealed an intense hyperechogenicity of the thickened pyloric muscle. Cholecystitis and pancreatitis were also present in this child. Familial hyperchylomicronemia was detected. Surgery confirmed the fatty infiltration of the pyloric muscular layer, which was necrotic and inflammatory. Medical management with restriction of fat in the diet led to a complete recovery. This is an exceptional case of pyloric stenosis where the particular echographic appearance of the pyloric muscle led to successful to medical treatment.
一名1个月大的婴儿表现出典型的幽门狭窄症状，但超声检查显示增厚的幽门肌呈强烈高回声。该患儿还患有胆囊炎和胰腺炎。检测到家族性高乳糜微粒血症。手术证实幽门肌层存在脂肪浸润，且伴有坏死和炎症。通过饮食中限制脂肪的医学管理使患儿完全康复。这是一例特殊的幽门狭窄病例，幽门肌特殊的超声表现使得医学治疗取得成功。
