Idiopathic thickening of the pyloric muscle can occur in young infants, causing projectile vomiting, electrolyte abnormalities, and necessity for surgical intervention to relieve the gastric outlet obstruction. Case reports have been published describing infants with HPS who also have portal venous gas (PVG) visualized within the liver. The presence of PVG in other clinical scenarios often indicates a severe and potentially life threatening bowel condition. The purpose of this study was to determine the incidence of infants with hypertrophic pyloric stenosis (HPS) and concurrent portal venous gas (PVG), as well as whether there are unique clinical features or different outcomes in the HPS patients with PVG versus without PVG.
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Meeting name:
SPR 2018 Annual Meeting & Postgraduate Course
, 2018
Authors:
Milla Sarah,
Cantu Cera,
Richer Edward,
Braithwaite Kiery,
Linam Leann,
Riedesel Erica,
Loewen Jonathan,
Simoneaux Stephen
Keywords:
pyloric stenosis,
portal venous gas,
pneumatosis