گزارش يك مورد كودك سه ساله با انسداد خروجي معده ناشي از پرده پيلور

A 3-Year old Child with Gastric Outlet Obstruction due to Pyloric Web: A Case Report

The most common cause of gastric outlet obstruction in neonates and infants is hypertrophic pyloric stenosis. Pyloric web as a cause ofgastric outlet obstruction is relatively rare in children and presents with non bilious vomiting, abdominal pain ar-d failure to thrive. The onset of symptoms is usually late with nonspecific symptoms like vomiting and failure to thrive that seems to be due to neuromuscular incoordination. Here we report a 3 year-old boy with prolonged fever, anorexia, and intractable postprandial non bilious vomiting and weight loss since 20 days prior to admission. Barium meal study revealed gastric outlet obstruction with a dilated stomach. The patient underwent laparotomy and pyloric web was confirmed as the cause of the symptoms and Heineke-Mikulicz pyloroplasty led to disappearing of the entire patientʹs problems.