A case of acquired gastric outlet obstruction diagnosed at 16 years of age

Abuhandan M., Caksen H., Eskicubuk S.

PEDIATRIC SURGERY INTERNATIONAL, vol.20, no.2, pp.148-150, 2004 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 20 Issue: 2
  • Publication Date: 2004
  • Doi Number: 10.1007/s00383-003-1108-0
  • Journal Name: PEDIATRIC SURGERY INTERNATIONAL
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.148-150
  • Van Yüzüncü Yıl University Affiliated: No

Abstract

A 16-year-old boy was admitted with an 8-year history of abdominal pain, vomiting, and growth retardation. There was no history of peptic ulcer or caustic ingestion. He was severely cachexic, and barium meal showed a dilated stomach with delayed gastric emptying time and no contrast in the duodenum afterward. Exploratory laparotomy demonstrated a grossly dilated stomach with a smooth wall and a stenotic ring at the pylorus but without any muscular hypertrophy. There was no extrinsic compression of the pylorus or any scarring near it. Heineke-Mikulicz' pyloroplasty was performed. Histopathological examination of the pylorus showed normal cellular pattern without any neoplastic or inflammatory cells. The patient improved postoperatively and gained 8 kg in the first month following the operation.