Hypertrophic pyloric stenosis following neonatal esophageal atresia repair: a case report
10.3760/cma.j.cn113903-20230921-00222
- VernacularTitle:新生儿食管闭锁修复术后肥厚型幽门狭窄1例
- Author:
Yuanlong FANG
1
;
Jialiang ZHOU
;
Qingyuan WANG
;
Yan ZHANG
;
Wuping GE
Author Information
1. 广东省妇幼保健院新生儿外科，广州 511400
- Keywords:
Esophageal atresia;
Hypertrophic pyloric stenosis;
Newborn
- From:
Chinese Journal of Perinatal Medicine
2024;27(9):774-776
- CountryChina
- Language:Chinese
-
Abstract:
This article reported a case of hypertrophic pyloric stenosis after neonatal esophageal atresia repair. The mother of the child did not have regular prenatal care. The child was born at a gestational age of 40 weeks and 2 days of gestation, with polyhydramnios at birth, and was diagnosed with esophageal atresia and cleft palate after birth and underwent thoracoscopic esophageal-esophageal end-to-end anastomosis and esophageal-tracheal fistula ligation and was given nasogastric feeding after surgery. At four months of age, the child vomited a lot of coffee-like material after nasogastric feeding, and the ultrasonographic and upper gastroenterography findings suggested hypertrophic pyloric stenosis, which was treated surgically with good results. This case suggests that hypertrophic pyloric stenosis should be considered in children with unexplained non-bilious vomiting/feeding difficulties after esophageal atresia repair. After definitive diagnosis, laparoscopic pyloromyotomy is feasible.
