Pyloric Stenosis Complicating Esophageal Atresia
| Author | S Jahanshahifard | en |
| Author | M Ahmadpour-Kacho | en |
| Author | MR Esmaeili Dooki | en |
| Author | S Osia | en |
| Author | A Hadipoor | en |
| Author | Y Zahedpasha | en |
| Issued Date | 2011-01-01 | en |
| Abstract | Abstract: Background: Post surgical complications of esophageal atresia (EA) include anastomotic leak, anastomotic stricture, gastroesophageal reflux, tracheomalacia, and recurrent tra-cheoesophageal fistula (TEF). However, hypertrophic pyloric stenosis (HPS) is complicating EA which seems to be rare. The aim of this report is to emphasize on HPS as a possible complicating post operative course of EA, the diagnosis of this complicating disorder may be delayed. Case presentation: A 3000 gram male infant was born at 38 weeks gestation to a 21-year-old, gravid mother by cesarean section. He presented vomiting with profuse foamy dis-charge and salivation. Esophageal atresia was confirmed by looped orogastric tube in the upper pouch of esophagus in chest X-ray. He underwent surgical correction and was discharged with a good condition on 7th post operation day. Nevertheless three weeks later, he developed recurrent vomiting. The diagnosis of HPS was confirmed by ultraso-nography and barium upper gastrointestinal (GI) series. Pyloromyotomy was done on him and He was discharged without any complication. At 3.5 months old, he developed regur-gitation and chocking cyanosis. At this time esophageal stenosis was diagnosed by bari-um swallow. The stricture was treated by gastroduodenoscopy. Conclusion: Infantile HPS should be considered in any case of persistent vomiting and feeding intolerance after surgery for esophageal atresia. A high index of suspicion is re-quired for diagnosis to avoid complication arising from a delayed diagnosis. | en |
| DOI | https://doi.org/ | en |
| Keyword | Esophageal Artesia | en |
| Keyword | Tracheoesophageal fistula | en |
| Keyword | Hypertrophic pyloric stenosis | en |
| Publisher | Brieflands | en |
| Title | Pyloric Stenosis Complicating Esophageal Atresia | en |
| Type | Case Report | en |
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