Adult idiopathic hypertrophic pyloric stenosis: an infrequent cause of gastric outlet obstruction

Authors

  • Nida Khan Department of General Surgery, Dr. D. Y, Patil University, School of Medicine, Navi Mumbai, Maharashtra
  • Meena Kumar Department of General Surgery, Dr. D. Y, Patil University, School of Medicine, Navi Mumbai, Maharashtra
  • Abhishek Mahadik Department of General Surgery, Dr. D. Y, Patil University, School of Medicine, Navi Mumbai, Maharashtra
  • Pragati Singhal Department of General Surgery, Dr. D. Y, Patil University, School of Medicine, Navi Mumbai, Maharashtra

DOI:

https://doi.org/10.18203/2349-2902.isj20201901

Keywords:

AIHPS, Antrectomy, Cervix sign, Endoscopic balloon dilatation, Pyloromyotomy, Pyloroplasty

Abstract

Hypertrophic pyloric stenosis is a congenital disease, presenting within two weeks of birth. However adult idiopathic hypertrophic pyloric stenosis (AIHPS) presents in middle age, predominantly in males and usually without any antecedent cause. Secondary variant may be due to intra gastric causes or extra gastric post-operative adhesions. Patient presents with symptoms of gastric outlet obstruction. Diagnosis depends on clinical, radiological and endoscopic findings. Treatment is subtotal gastrectomy. Pyloroplasty and endoscopic dilatation may be tried in debilitated patients. We present a case of AIHPS presenting as gastric outlet obstruction in a 16 year old female, that was surgically managed with an antrectomy.

Author Biographies

Nida Khan, Department of General Surgery, Dr. D. Y, Patil University, School of Medicine, Navi Mumbai, Maharashtra

Resident, General Surgery

Meena Kumar, Department of General Surgery, Dr. D. Y, Patil University, School of Medicine, Navi Mumbai, Maharashtra

Professor and Head of Unit, General Surgery

Abhishek Mahadik, Department of General Surgery, Dr. D. Y, Patil University, School of Medicine, Navi Mumbai, Maharashtra

Assistant Professor, General Surgery

References

Taliaferro L, Barnett DA, Nirmal SM. Adult hypertrophic pyloric stenosis: case report. Texas Med. 1986;82(9):27.

MacDonald JA. Adult hypertrophic pyloric stenosis. Br J Surg. 1973;60:73-5.

Dye TE, Vidals VG, Lockhart CE. Adult hypertrophic pyloric stenosis. Am Surg. 1979;45:478-84.

Danikas D, Geis WP, Ginalis EM, Gorcey SA, Stratoulias C. Laparoscopic pyloroplasty in idiopathic hypertrophic pyloric stenosis in an adult. JSLS. 2000;4(2):173-5.

Rengin K. Jean cruveilhier and his explorations. World J Res Review. 2012;8:29-31.

Simson JN, Thomas AJ, Stoker TA. Adult hypertrophic pyloric stenosis and gastric carcinoma. British J Surg. 1986;73(5):379-80.

Knight D, Charles D. Hypertrophic pyloric stenosis in the adult. Annals Surg. 1961;153(6):899.

Ikenaga T. Primary hypertrophic pyloric stenosis in the adult. J Gastroenterol Hepatol. 1992;7(5):524-6.

Kernohan JW. A morphologic study of the myenteric plexus and musculature of the pylorus with special reference to the changes in hypertrophic pyloric stenosis. Surg Gynecol Obst. 1953;97(3):322-34.

Fenwick T. Familial hypertrophic pyloric stenosis. British Med J. 1953;2:12-5.

Zarineh A, Leon ME, Saad RS, Silverman JF. Idiopathic hypertrophic pyloric stenosis in an adult, a potential mimic of gastric carcinoma. Patholog Res Int. 2010;20:614-80.

Bateson EM, Talerman A, Walrond ER. Radiological and pathological observations in a series of seventeen cases of hypertrophic pyloric stenosis of adults. British J Radiol. 1969;42(493):1-8.

Plessis DJ. Primary hypertrophic pyloric stenosis in the adult. Br J Surg. 1966;53:485-92.

Fujimoto T, Lane GJ, Segawa O, Esaki S, Miyano T. Laparoscopic extramucosal pyloromyotomy versus open pyloromyotomy for infantile hypertrophic pyloric stenosis: which is better? J Pediatr Surg. 1999;34:370-2.

Scott K, Alexander GL. Long-term outcome of endoscopic dilation of nonmalignant pyloric stenosis. Gastroint Endoscop. 1995;41(1):15-7.

Downloads

Published

2020-04-23

Issue

Section

Case Reports