Isolated intramuscular fibrous band masquerading antral web in a premature neonate. A case report.
Isolated fibrous gastric antral band in a neonate causing partial gastric obstruction and mimicking prepyloric antral web is not reported in the English literature, and we would like to report the first case. A premature neonate with feeding difficulties and bilious aspirate underwent upper gastrointestinal contrast examination. The upper gastrointestinal series showed a thin, radiolucent, circumferential band in the antrum with delayed gastric emptying. Radiographic diagnosis of prepyloric antral web with partial gastric obstruction was made. Intraoperatively, a circumferential fibrous cord was found in the muscle layer (tunica muscularis) of the antrum, which was completely divided. Clinically and radiographically, the 2 conditions could not be differentiated but require 2 separate surgical techniques for their management.
Department of Pediatric Radiology, Children's Hospital of Pittsburgh of University of Pittsburgh Medical Centre, Pittsburgh, PA 15224, USA. sameh.tadros@chp.edu
Avinash
A
Medsinge
Stefano C
SC
Bartoletti
Andre
A
Furtado
Aviva
A
Katz
Sameh S
SS
Tadros
D005746:Gastric Emptying; D017219:Gastric Outlet Obstruction / Q000151:congenital* / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D007235:Infant, Premature, Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D007236:Infant, Small for Gestational Age; D007441:Intubation, Gastrointestinal; D007813:Laparotomy; D008297:Male; D009130:Muscle, Smooth / Q000473:pathology; D011706:Pyloric Antrum / Q000002:abnormalities*; D011859:Radiography