ABSTRACT
This study was conducted for-correlating the early radiological findings of different surgical causes of vomiting in the in neonates with surgical findings. From January 2009 to September 2012, 101 neonates presented with surgical cause of neonatal vomiting were referred to Diagnostic Radiology Department at Sohag University Hospitals and private sectors. Abdominal X-ray, abdominal ultrasound and Doppler and contrast imaging were done to identify the surgical causes of vomiting with clinical and surgical correlation. All cases were managed surgically by one pediatric surgeon in Pediatric Surgery Unit at Sohag University Hospitals. Patients with vomiting caused by non-surgical causes were excluded. Our study compromised 101 vomiting neonates [72 boys and 29 girls] with male sex predominance. Male to female ratio was 2.5:1. Sixty jour patients were found to have congenital hypertrophic pyloric stenosis [CHPS], 19 cases with jejuna-Heal atresia [JIA], 8 cases with duodenal atresia [DA], 2 cases with pyloric atresia, 2 cases with volvulus, 2 cases with complicated congenital inguinal hernias, 2 cases with congenital bands, 1 case with malrotation, and 1 case internal hernia. Radiological examinations were diagnostic in most of the cases and allied with surgical findings. Persistent vomiting in the neonatal period may the indicative of serious surgical conditions and requires neonatal and pediatric surgical involvement. Differentiating between all theses causes is difficult, it relies on good history taking and rumination and early appropriate radiological workup
Subject(s)
Humans , Male , Female , Infant, Newborn , Ultrasonography , Tomography, X-Ray Computed/methods , Pyloric Stenosis, Hypertrophic/etiology , /etiologyABSTRACT
Patología relativamente común entre los lactantes, es la causa quirúrgica más frecuente a esa edad, y presenta una alteración en la relajación y/o en la contractilidad de los músculos del píloro que lo llevan a la hipertrofia con estenosis, causando una obstrucción en el tubo digestivo. Se describen su etiología y frecuencia, manifestaciones clínicas, diagnóstico, y tratamiento, así como el procedimiento de la ecografía del píloro normal, y en la estenosis hipertrófica.
Subject(s)
Humans , Male , Infant , Female , Pyloric Stenosis, Hypertrophic/diagnosis , Pyloric Stenosis, Hypertrophic/etiology , Pyloric Stenosis, Hypertrophic/therapy , Pyloric Stenosis, Hypertrophic , UltrasonographyABSTRACT
Estenose hipertrófica do piloro é uma condição comum em infantes com 2 - 12 semanas de idade e cuja causa permanece desconhecida. O diagnóstico clínico baseia-se na história de vômitos não-biliosos em jato, sinais de hiperperistalse gástrica e "tumor" pilórico palpável ao exame físico. Os autores ilustram os típicos achados desta alteração em seriografias do trato gastrointestinal superior e na ultra-sonografia abdominal. Critérios diagnósticos são descritos e as aplicações desses dois métodos são estabelecidos segundo a literatura vigente
Hypertrophic pyloric stenosis is a common condition in infants with 2 - 12 weeks of postnatal life. The cause of this disease remains obscure. Clinical diagnosis is based on the history of projectile, nonbilious vomiting, gastric hyperperistalsis and a palpable pyloric "tumor". The authors review the typical findings seen on upper gastrointestinal x-ray series and abdominal ultrasonography. The diagnostic criteria for hypertrophic pyloric stenosis are presented and the applications of these two methods are established on the basis of the current literature.