Pyloric stenosis in an iniencephalic infant with a congenital intra-thoracic stomach.
We report the first case of hypertrophic pyloric stenosis in an intrathoracic stomach in a neonate with congenital ultra-short oesophagus and iniencephaly clausus. Antenatal ultrasound detected right-sided thoracic cystic lesions and postnatal investigations revealed an intra-thoracic stomach and spleen with an ultra-short oesophagus and intact diaphragm. Subsequently, she developed pyloric stenosis. Such neonates require urgent referral to surgical centres for what is a challenging diagnosis and complicated management.
Winckworth
Lucinda C
LC
Department of Paediatric Surgery, Chelsea & Westminster Hospital NHS Foundation Trust, 369 Fulham Road, London, SW10 9NH, UK. lucinda.w@doctors.net.uk
Rees
Clare M
CM
Fan
Tiffany
T
Haddad
Munther
M
Clarke
Simon A
SA
D005260:Female; D006801:Humans; D007231:Infant, Newborn; D009436:Neural Tube Defects / Q000150:complications*; D046248:Pyloric Stenosis, Hypertrophic / Q000150:complications / Q000601:surgery*; D013272:Stomach Diseases / Q000150:complications / Q000151:congenital / Q000601:surgery*