IDIOPATHIC INTRINSIC PYLORIC STENOSIS – A VERY RARE CAUSE OF GASTRIC OUTLET OBSTRUCTION IN SMALL CHILDREN

摘要

This is the report on the case of a 2 year old boy, known from the age of 1 month with recurrent symptomatology indicative of an intermittent gastric outlet obstruction. The imaging studies confirmed the gastric outlet obstruction syndrome, in the presence of a dilated and plicated stomach suggesting an intermittent gastric volvulus. During the surgery a pyloric fibrotic stenosis was discovered, therefore a pylororomy was performed, followed by a HeinekeMikulicz pyloroplasty and gastropexy. After the surgery, the patient’s condition improved fast, with complete remission of all symptoms. The few cases of pyloric fibrous stenosis described in children were secondary, either of toxic etiology (ingestion of caustic or corrosive substances, nonsteroidal antiinflamatory drugs) or associated with peptic ulcer disease. In our case no certain etiology could be.