A Natural Course of an Infantile Hypertrophic Pyloric Stenosis without Adequate Surgical Procedure

C. Lim, H. Park, J. Yeom, Taejin Park, J. Park, E. Park, J. Seo, Jae-Young Lim, C. Park, H. Woo, H. Youn
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引用次数: 1

Abstract

Infantile hypertrophic pyloric stenosis (IHPS) is one of the common surgical abdomen in infancy, characterized by progressive non-bilious vomiting. The etiology is unknown, but it likely develops after birth. The pylorus of the stomach becomes thick and triggers progressive vomiting. Abdominal ultrasonography (US) is widely used as a diagnostic tool. Currently, there is a rare IHPS patient with severe metabolic derangement because of general use of abdominal US and its accuracy. We experienced a natural course of a 62- day-old male infant with IHPS who was suffering from intermittent vomiting, loss of weight but had not been properly treated for 1 month. It is needed to make an effort to diagnose differentially in recurrent vomiting infant and check-up regularly, and also educate parents properly.
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没有适当外科手术的婴儿肥厚性幽门狭窄的自然病程
婴儿肥厚性幽门狭窄(IHPS)是婴儿期常见的外科腹部疾病之一,以进行性非胆汁性呕吐为特征。病因不明,但很可能在出生后发病。胃幽门变厚,引发进行性呕吐。腹部超声(US)被广泛用作诊断工具。由于腹部US的普遍使用和准确性,目前有一例罕见的IHPS患者存在严重的代谢紊乱。我们经历了一个62天的IHPS男婴儿的自然病程,他患有间歇性呕吐,体重减轻,但没有得到适当的治疗1个月。对反复呕吐的婴儿应努力鉴别诊断,定期检查,并对家长进行正确的教育。
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