A Case of Congenital Gastric Outlet Obstruction with Serosal Fibrous Band in Prematurity

So Min Yang; Ho Seon Eun; Soon Min Lee; He Kyung Chang; Kook In Park; Ran Namgung

doi:10.14734/kjp.2014.25.4.302

Journal List > Korean J Perinatol > v.25(4) > 1013731

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Yang, Eun, Lee, Chang, Park, and Namgung: A Case of Congenital Gastric Outlet Obstruction with Serosal Fibrous Band in Prematurity

Original Article

Korean J Perinatol 2014;25(4):302-306.

Published online: 21 December 2014

DOI: https://doi.org/10.14734/kjp.2014.25.4.302

A Case of Congenital Gastric Outlet Obstruction with Serosal Fibrous Band in Prematurity

So Min Yang, M.D.¹, Ho Seon Eun, M.D.¹, Soon Min Lee, M.D.¹, He Kyung Chang, M.D.², Kook In Park, M.D.¹, Ran Namgung, M.D.¹

¹Department of Pediatrics, Yonsei University College of Medicine, Department of Surgery, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea

²Department of Pediatrics, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea

Received 15 September 20142 October 2014 Accepted 14 October 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Most of the gastric outlet obstruction symptoms like vomiting and abdominal distension were caused by congenital anatomical abnormality in a neonate. Abnormal structures associated with congenital gastric outlet obstruction have been categorized by its site and extent of obstruction. We report one case of persisting vomiting in a premature infant caused by serosal fibrous band in gastric outlet lesion, excluded from the category of congenital gastric outlet obstruction.

Keywords: Gastric outlet obstruction, Prematurity, Serous, Fibrosis

REFERENCES

1.Bell MJ., Ternberg JL., McAlister W., Keating JP., Tedesco FJ. Antral diaphragm--a cause of gastric outlet obstruction in infants and children. J Pediatr. 1977. 90:196–202.

2.Otjen JP., Iyer RS., Phillips GS., Parisi MT. Usual and unusual causes of pediatric gastric outlet obstruction. Pediatr Radiol. 2012. 42:728–37.

3.Gerber BC. Prepyloric diaphragm, an ususual abnormality. A case report. Arch Surg. 1965. 90:472–80.

4.Berrocal T., Torres I., Gutiérrez J., Prieto C., del Hoyo ML., Lamas M. Congenital anomalies of the upper gastrointestinal tract. Radiographics. 1999. 19:855–72.

5.Lui KW., Wong HF., Wan YL., Hung CF., Ng KK., Tseng JH. Antral web--a rare cause of vomiting in children. Pediatr Surg Int. 2000. 16:424–5.

6.Medsinge A., Bartoletti SC., Furtado A., Katz A., Tadros SS. Isolated intramuscular fibrous band masquerading antral web in a premature neonate. A case report. J Pediatr Surg. 2012. 47:e17–9.

7.Hait G., Esselstyn CB Jr., Rankin GB. Prepyloric mucosal diaphragm (antral web): report of a case and review of the literature. Arch Surg. 1972. 105:486–90.

8.Gross KE., Durham MW. Pyloric antral mucosal diaphragm; report of a case. Radiology. 1953. 61:368–72.

9.Pederson WC., Sirinek KR., Schwesinger WH., Levine BA. Gastric outlet obstruction secondary to antral mucosal diaphragm. Dig Dis Sci. 1984. 29:86–90.

10.Banks PA., Waye JD. The gastroscopic appearance of antral web. Gastrointest Endosc. 1969. 15:228–9.

11.Skibba JL., Wesenberg RL., Anderson AD. Incomplete antral membrane in an infant. Am J Dis Child. 1973. 126:82–4.

12.Berr F., Rienmueller R., Sauerbruch T. Successful endoscopic transection of a partially obstructing antral diaphragm. Gastroenterology. 1985. 89:1147–51.

Fig. 1.

The finding of plain abdominal X-rays in gastric outlet obstruction. Gaseous distension of the stomach and gasless small bowel were observed.

Fig. 2.

The finding of ultrasonography in gastric outlet obstruction. (A) Elongation and collapse of pyloric channel. (B) Short segmental intussusception in proximal portion of pylorus (target sign).

Fig. 3.

The finding of upper gastrointestinal series (UGI) and delayed plain X-ray in gastric outlet obstruction. (A) UGI showing the distended stomach with gas and contrast agent. (B) A contrast agent does not pass through a pylorus in 180 minutes delayed films.

Fig. 4.

An intraoperative picture shows a 1 mm vertical fibrous band across the antral portion of stomach.

TOOLS

Similar articles