CC BY 4.0 · European J Pediatr Surg Rep. 2021; 09(01): e20-e22
DOI: 10.1055/s-0041-1723017
Case Report

Delayed Diagnosis of a Pyloric Web Causing Gastric Outlet Obstruction in a 13-Month-Old Girl

Mohammed Elifranji
1   Department of Surgery, Sidra Medicine, Doha, Qatar
2   Department of Pediatric Surgery, Hamad Medical Corporation, Doha, Qatar
,
Jisha Sankar
3   Department of Gastroenterology, Sidra Medicine, Doha, Qatar
,
Israa Abdelrasool
3   Department of Gastroenterology, Sidra Medicine, Doha, Qatar
,
Guy Brisseau
4   Department of Pediatric Surgery, Sidra Medicine, Doha, Qatar
› Author Affiliations

Abstract

Pyloric web is a rare cause of gastric outlet obstruction. Classical pyloric web can be diagnosed by obtaining a patient history, physical examination, and plain abdominal X-ray, whereas a perforated web leads to incomplete intestinal obstruction. Delayed diagnosis is rare, and the definite diagnosis is made by upper endoscopy. In this report, we report a case of a girl in whom a pyloric web was diagnosed at the age of 13 months.



Publication History

Received: 03 August 2020

Accepted: 24 September 2020

Article published online:
03 March 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 
  • References

  • 1 Otjen JP, Iyer RS, Phillips GS, Parisi MT. Usual and unusual causes of pediatric gastric outlet obstruction. Pediatr Radiol 2012; 42 (06) 728-737
  • 2 Nawaz A, Matta H, Jacobsz A, Al-Salem A. Congenital pyloric atresia and junctional epidermolysis bullosa: a report of two cases. Pediatr Surg Int 2000; 16 (03) 206-208
  • 3 Ilce Z, Erdogan E, Kara C. et al. Pyloric atresia: 15-year review from a single institution. J Pediatr Surg 2003; 38 (11) 1581-1584
  • 4 Okoye BO, Parikh DH, Buick RG, Lander AD. Pyloric atresia: five new cases, a new association, and a review of the literature with guidelines. J Pediatr Surg 2000; 35 (08) 1242-1245
  • 5 Knouff S, Klein A, Kaminski M. Pyloric atresia in the neonate. Neonatal Netw 2014; 33 (06) 329-335
  • 6 Holcomb G, Murphy JP, Ostlie D. eds. Ashcraft's Pediatric Surgery. 5th ed.. Philadelphia, PA: WB Saunders; 2010: 408
  • 7 Moore CCM. Congenital gastric outlet obstruction. J Pediatr Surg 1989; 24 (12) 1241-1246
  • 8 Al-Salem AH, Abdulla MR, Kothari MR, Naga MI. Congenital pyloric atresia, presentation, management, and outcome: a report of 20 cases. J Pediatr Surg 2014; 49 (07) 1078-1082
  • 9 Peled Y, Hod M, Friedman S, Mashiach R, Greenberg N, Ovadia J. Prenatal diagnosis of familial congenital pyloric atresia. Prenat Diagn 1992; 12 (02) 151-154
  • 10 Frisova V, Kavalcova L, Kyncl M, Vlk R, Kucera A, Rocek M. Congenital gastric outlet obstruction by pyloric membrane: prenatal and postnatal diagnosis and management. Fetal Diagn Ther 2009; 26 (02) 98-101
  • 11 Hasegawa T, Kubota A, Imura K. et al. Prenatal diagnosis of congenital pyloric atresia. J Clin Ultrasound 1993; 21 (04) 278-281
  • 12 Kansra M, Raman VS, Kishore K, Khanna S, Puri B, Sharma A. Congenital pyloric atresia - nine new cases: Single-center experience of the long-term follow-up and the lessons learnt over a decade. J Pediatr Surg 2018; 53 (11) 2112-2116
  • 13 Jung J, Moon KR. A case of an antral web with a gastric ulcer due to ibuprofen. Korean J Pediatric Gastroenterol Nutr 2010; 13: 66-69
  • 14 Choi KJ. Prepyloric gastric antral webs in children-report of two cases and review of the literature. J Korean Surg Soc 1988; 35: 610-614
  • 15 Al-Salem AH. Congenital pyloric atresia and associated anomalies. Pediatr Surg Int 2007; 23 (06) 559-563
  • 16 Dessanti A, Di Benedetto V, Iannuccelli M, Balata A, Cossu Rocca P, Di Benedetto A. Pyloric atresia: a new operation to reconstruct the pyloric sphincter. J Pediatr Surg 2004; 39 (03) 297-301
  • 17 Berr F, Rienmueller R, Sauerbruch T. Successful endoscopic transection of a partially obstructing antral diaphragm. Gastroenterology 1985; 89 (05) 1147-1151