Abstract

Infantile hypertrophic pyloric stenosis (IHPS) is a common condition which presents with non-bilious vomiting and failure to thrive secondary to gastric outlet obstruction. In the UK, management is by fluid resuscitation followed by pyloromyotomy. Incomplete myotomy complicates 0.3% of cases necessitating further surgery and exposing the patient to further risk. Medical management of IHPS with antimuscarinics to promote pyloric relaxation is a well-described treatment modality that is used as first-line therapy in some countries. The use of this technique is limited by the need for extended hospital admission with parenteral nutrition administration. We describe a case of IHPS complicated by incomplete pyloromyotomy and subsequently managed successfully by atropine sulphate therapy.

Links

Publisher Full Text

Authors

Owen RP, Almond SL, Humphrey GM

Institution

Department of General Surgery, Arrowe Park Hospital, Liverpool, UK. richowen83@hotmail.com

Source

BMJ case reports 2012: 2012 pg

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22865807