Infantile hypertrophic pyloric stenosis presenting as pseudo-Bartter's syndrome and seizures: report of one case.
We report a hypertrophic pyloric stenosis case with an unusual initial presentation of seizures and Bartter's syndrome like symptoms. This case suffered from vomiting, diarrhea and poor appetite for several days, and seizures developed after these symptoms. From laboratory tests, hypochloremic and hypokalemic metabolic alkalosis associated with hyperreninemia, hyperaldosteronism and normal blood pressure were noted. Pseudo-Bartter's syndrome was diagnosed through these clinical and laboratory tests. Although the first abdominal echo was negative, we still speculated about the peculiar symptoms of vomiting and it's relationship to pseudo-Bartter's syndrome. After all, we found the hypertrophic pyloric stenosis through an upper gastrointestinal series. From these experiences, we postulated that it's very important to put the hypertrophic pyloric stenosis into the differential diagnosis of pseudo-Batter's syndrome.
Department of Pediatrics and Pediatric Surgery, Chang Gung Children's Hospital, Kaohsiung, Taiwan, R.O.C.
H R
HR
Yu
S C
SC
Huang
C S
CS
Hsieh
D001477:Bartter Syndrome / Q000175:diagnosis*; D003937:Diagnosis, Differential; D006801:Humans; D006984:Hypertrophy; D007223:Infant; D008297:Male; D011707:Pyloric Stenosis / Q000175:diagnosis*; D012640:Seizures / Q000209:etiology*