Please confirm topic selection

Are you sure you want to trigger topic in your Anconeus AI algorithm?

Please confirm action

You are done for today with this topic.

Would you like to start learning session with this topic items scheduled for future?

Updated: Jan 26 2020

Congenital Pyloric Stenosis

  • Snapshot
    • An anxious young married couple presents to the ED with their 3-week-old firstborn. They report that the child was feeding well for the first two weeks after delivery but over the past few days he has taken less breast milk. Two days ago he experienced projectile vomiting after every meal. The mom and dad are concerned that he might have the stomach flu.
  • Overview
  • Introduction
    • A congenital stenosis of the pyloric sphincter
      • not present at birth but develops in 1st month
      • deficiency in NO syntase results in inability to relax sphincter muscles
    • May be aquired in adult cases with stricture following chronic ulcer disease
    • Associated with the use of macrolides in newborns
  • Presentation
    • Symptoms
      • projectile vomitting
        • vomitus does not contain bile
    • Physical exam
      • palpable "olive" in epigastrium
      • hyperperstalsis
  • Evaluation
    • Ultrasound is diagnostic
  • Treatment
    • Medical management
      • IV fluid resuscitation
      • electrolyte management/optimization pre-operatively (specifically Cl > 100)
    • Surgical
      • pyloromyotomy, open or laparoscopic
1 of 0
1 of 2
Private Note

Attach Treatment Poll
Treatment poll is required to gain more useful feedback from members.
Please enter Question Text
Please enter at least 2 unique options
Please enter at least 2 unique options
Please enter at least 2 unique options