Jodhpur disease revisited: a rare cause of severe protein energy malnutrition.
A 3.5-year-old grossly cachectic female child presenting with recurrent vomiting, fever, abdominal distention, abdominal pain and severe weight loss was evaluated for the cause of severe protein energy malnutrition. Investigation revealed a massively dilated stomach with delayed gastric emptying and normal pylorus. On exploratory laparotomy, diagnosis of primary acquired gastric outlet obstruction (Jodhpur disease) was confirmed and she underwent pyloroplasty with uneventful post-operative period. To conclude, this entity should always be included in the differential diagnosis of gastric outlet obstruction with severe malnutrition especially in older children.
Department of Pediatrics, VMMC and Safdarjang Hospital, New Delhi, India.
Mukul
M
Aggarwal
Department of Pediatrics, VMMC and Safdarjang Hospital, New Delhi, India.
Vikrant
V
Sood
Department of Pediatrics, VMMC and Safdarjang Hospital, New Delhi, India.
Abhishek
A
Kumar
Department of Pediatrics, VMMC and Safdarjang Hospital, New Delhi, India.
Kumar
K
Saurabh
Jodhpur disease; gastric outlet obstruction; protein energy malnutrition