title: Gastric serosal tear due to congenital pyloric atresia: a rare anomaly, a rare complication.
abstract: Congenital pyloric atresia (CPA) is a very rare malformation with unknown aetiology. It has has numerous complications including gastric perforation, aspiration pneumonia. Gastric perforations in newborns occur by three mechanisms: trauma, ischaemia, or spontaneous. Here, we report a newborn with CPA presenting with gastric serosal tearing without full-cut gastric perforation. The diagnosis was confirmed with the help of plain abdominal radiograph, ultrasound, contrast-study, and at operation. Treatment of CPA is surgery irrespective of the type of atresia. We performed serosa repair and then the solid, cord-like atretic pylorus was excised with accompanying gastroduodenostomy. Our patient had an uneventful course and was discharged at the end of the second postoperative week.
authors: Department of Paediatric Surgery, Ondokuz Mayis University, Samsun, Turkey. mithatgunaydin@yahoo.com
authors: Mithat
authors: M
authors: Gunaydin
authors: Rizalar
authors: R
authors: Rizalar
authors: Asudan Tugçe
authors: AT
authors: Bozkurter
authors: Burak
authors: B
authors: Tander
authors: Ender
authors: E
authors: Ariturk
authors: Ferit
authors: F
authors: Bernay
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D004385:Duodenostomy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D005753:Gastric Mucosa; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D007231:Infant, Newborn; D007409:Intestinal Atresia / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D007813:Laparotomy / Q000379:methods*; D008297:Male; D011247:Pregnancy; D011708:Pylorus / Q000002:abnormalities* / Q000601:surgery; D012422:Rupture, Spontaneous; D013272:Stomach Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery