A case of acquired gastric outlet obstruction diagnosed at 16 years of age.
A 16-year-old boy was admitted with an 8-year history of abdominal pain, vomiting, and growth retardation. There was no history of peptic ulcer or caustic ingestion. He was severely cachexic, and barium meal showed a dilated stomach with delayed gastric emptying time and no contrast in the duodenum afterward. Exploratory laparotomy demonstrated a grossly dilated stomach with a smooth wall and a stenotic ring at the pylorus but without any muscular hypertrophy. There was no extrinsic compression of the pylorus or any scarring near it. Heineke-Mikulicz' pyloroplasty was performed. Histopathological examination of the pylorus showed normal cellular pattern without any neoplastic or inflammatory cells. The patient improved postoperatively and gained 8 kg in the first month following the operation.
Abuhandan
Mahmut
M
Social Security Hospital, Sanliurfa, Turkey.
Caksen
Hüseyin
H
Eskiçubuk
Selçuk
S
D000293:Adolescent; D013505:Digestive System Surgical Procedures / Q000379:methods*; D017219:Gastric Outlet Obstruction / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D011708:Pylorus / Q000601:surgery*; D011859:Radiography; D016896:Treatment Outcome