Recurrent Hypertrophic Pyloric Stenosis in a Male Child: A Case Rarity

Volume 5 - Issue 3

Nitin Jain¹, Parveen Kumar²* and Shandip Sinha³

Received: June 10, 2020   Published: July 07, 2020

DOI: 10.32474/SCSOAJ.2020.05.000211

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Abstract

Infantile hypertrophic pyloric stenosis (IHPS) is the most frequent surgical condition in children. Incomplete pyloromyotomy is an infrequent complication, but recurrent pyloric stenosis (RPS) is extremely rare. We report here a case of late-onset recurrence of IHPS in a 7-year-old male child, after successful pyloromyotomy. He presented with abdominal pain, recurrent episodes of nonbilious vomiting and upper abdominal fullness after taking meals that relieved on vomiting. These symptoms started around 4 months after successful pyloromyotomy done at 4 weeks of age. Child underwent series of radiological investigations including upper GI endoscopy that confirmed gastric outlet obstruction with thickened pylorus. Multiple management options are proposed but we preferred ‘heineke mikulicz pyloroplasty’ in our case.

Abstract| Introduction| Case Report| Outcome and follow-up| Discussion| Conclusion| Conflicting Interest| Acknowledgement| References|