Additional pediatric resources: GeneralPediatrics.com | PediatricEducation.org | SearchingPediatrics.com
Correlapaedia - a Correlative Encyclopedia of Pediatric Imaging, Surgery, and Pathology
The patient was a 4 week old male, status post primary repair of esophageal atresia with distal tracheoesophageal fistula, who is in the intensive care unit, who had been vomiting up his G-tube feeds for the last 24 hours.
Clinical Physical Exam:
A palpable olive was present in the mid abdomen.
Clinical Differential Diagnosis:
An upper GI at 4 weeks of age showed pyloric channel narrowing. An ultrasound examination of the pylorus from later the same day demonstrated marked thickening and elongation of the pylorus.
Images 1, 2, and 3
Images 4, 5, and 6
Imaging Differential Diagnosis:
Two days later the patient underwent a pyloromyotomy on a hypertrophied and thickened pylorus.
Hypertrophic Pyloric Stenosis
Follow-up and Prognosis:
The patient had an uncomplicated post-operative course.
Please send us comments by filling out our Comment Form.
All contents copyright © 1992-2018 Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. and the authors. All rights reserved.
"Virtual Pediatric Hospital", the Virtual Pediatric Hospital logo, and "A digital library of pediatric information" are all Trademarks of Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D.
Virtual Pediatric Hospital is funded in whole by Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. Advertising is not accepted.
Your personal information remains confidential and is not sold, leased, or given to any third party be they reliable or not.
The information contained in Virtual Pediatric Hospital is not a substitute for the medical care and advice of your physician. There may be variations in treatment that your physician may recommend based on individual facts and circumstances.