Korean J Perinatol.  2014 Dec;25(4):302-306. 10.14734/kjp.2014.25.4.302.

A Case of Congenital Gastric Outlet Obstruction with Serosal Fibrous Band in Prematurity

• Yang SM
• Eun HS
• Lee SM
• Chang HK
• Park KI
• Namgung R

• KMID: 2281149
• DOI: http://doi.org/10.14734/kjp.2014.25.4.302

Abstract

Most of the gastric outlet obstruction symptoms like vomiting and abdominal distension were caused by congenital anatomical abnormality in a neonate. Abnormal structures associated with congenital gastric outlet obstruction have been categorized by its site and extent of obstruction. We report one case of persisting vomiting in a premature infant caused by serosal fibrous band in gastric outlet lesion, excluded from the category of congenital gastric outlet obstruction.

Keyword

Gastric outlet obstruction; Prematurity; Serous; Fibrosis

MeSH Terms

Fibrosis
Gastric Outlet Obstruction*
Humans
Infant, Newborn
Infant, Premature
Vomiting

Figure

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  Fig. 1. The finding of plain abdominal X-rays in gastric outlet obstruction. Gaseous distension of the stomach and gasless small bowel were observed.

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  Fig. 2. The finding of ultrasonography in gastric outlet obstruction. (A) Elongation and collapse of pyloric channel. (B) Short segmental intussusception in proximal portion of pylorus (target sign).

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  Fig. 3. The finding of upper gastrointestinal series (UGI) and delayed plain X-ray in gastric outlet obstruction. (A) UGI showing the distended stomach with gas and contrast agent. (B) A contrast agent does not pass through a pylorus in 180 minutes delayed films.

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  Fig. 4. An intraoperative picture shows a 1 mm vertical fibrous band across the antral portion of stomach.

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