[Clinical and therapeutical considerations regarding a rare case of pre-pyloric stenosis].
The neonatal obstacle caused by a pre-pyloric diaphragm represent a rare cause of high oclusion in new-born. We present the case of a 6 days old new-born admitted in our department for nonbilious vomiting and feeding intolerance in which the clinical exam and the imagistic explorations (plain and contrast abdominal X-Rays, and ultrasound) could not reveal an evident cause for the oclusion. The surgical intervention imposed by the simptoms revealed the existece of a complete diaphragm in the prepyloric region. The initial excision of the diaphragm was not sufficient, the patient undergoing a second surgical intervention of gastrojejunal anastromosis with favorable evolution this time. The authors are presenting diagnosis and theraputical management peculiarities of this rare condition.
Sabetay
C
C
Clinica Chirurgie PediatricS, Spitalul Clinic de Urgentă Craiova. sabetay@umfcv.ro
Zavate
A
A
Ciuca
M
M
Ciobanu
O
O
Malos
A
A
D003937:Diagnosis, Differential; D005260:Female; D015390:Gastric Bypass / Q000379:methods; D017219:Gastric Outlet Obstruction / Q000209:etiology; D006801:Humans; D007231:Infant, Newborn; D011706:Pyloric Antrum / Q000002:abnormalities*; D011707:Pyloric Stenosis / Q000151:congenital / Q000175:diagnosis* / Q000601:surgery; D012086:Reoperation; D016896:Treatment Outcome; D014839:Vomiting / Q000209:etiology