Sabetay C, Zavate A, Ciuca M, Ciobanu O, Malos A
[Clinical and therapeutical considerations regarding a rare case of pre-pyloric stenosis] [English Abstract, Journal Article]
Chirurgia (Bucur) 2009 Jul-Aug; 104(4):495-7.
The neonatal obstacle caused by a pre-pyloric diaphragm represent a rare cause of high oclusion in new-born. We present the case of a 6 days old new-born admitted in our department for nonbilious vomiting and feeding intolerance in which the clinical exam and the imagistic explorations (plain and contrast abdominal X-Rays, and ultrasound) could not reveal an evident cause for the oclusion. The surgical intervention imposed by the simptoms revealed the existece of a complete diaphragm in the prepyloric region. The initial excision of the diaphragm was not sufficient, the patient undergoing a second surgical intervention of gastrojejunal anastromosis with favorable evolution this time. The authors are presenting diagnosis and theraputical management peculiarities of this rare condition.
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