Congenital gastric outlet obstruction by pyloric membrane: prenatal and postnatal diagnosis and management
Language English Country Switzerland Media print-electronic
Document type Case Reports, Journal Article, Research Support, Non-U.S. Gov't
PubMed
19816036
DOI
10.1159/000242455
PII: 000242455
Knihovny.cz E-resources
- MeSH
- Humans MeSH
- Magnetic Resonance Imaging MeSH
- Gastric Outlet Obstruction complications diagnostic imaging pathology MeSH
- Polyhydramnios diagnostic imaging etiology MeSH
- Pregnancy MeSH
- Pregnancy Trimester, Third MeSH
- Ultrasonography, Prenatal MeSH
- Check Tag
- Humans MeSH
- Pregnancy MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Case Reports MeSH
- Research Support, Non-U.S. Gov't MeSH
Congenital gastric outlet obstruction is a rare condition representing only 1% of all gastrointestinal atresias. Prenatal diagnosis is uncommon and mostly confined to the third trimester of cases presenting a combination of polyhydramnios with dilated stomach. We report a case of congenital gastric outlet obstruction by pyloric membrane which was diagnosed prenatally in the third trimester by sonography and magnetic resonance imaging. The anomaly appeared to be isolated, thus a favorable outcome was expected. A baby girl weighing 3,430 g was delivered spontaneously at 36 weeks. Postnatal imaging methods confirmed the presence of a congenital gastric obstruction. 21 h after delivery, the baby underwent laparotomy, at which time a malrotation and pyloric membrane were found and resolved. The postoperative course was uneventful and the baby was discharged at the age of 18 days and remains well at controls.
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