L'atresie antro-pylorique: a props d'une observation

ABSTRACT

We report here a moroccan antro-pyloric atresia case. This malformation constitutes an uncommon affection seeing that there are Only 96 cases reported in literature. The obstacle is more often a consequence of a diaphragme. Sometimes, the stomach and the duodenum are completely separated. In the other cases, they are joined by a fibrous cord. The symptoms are very typical. They include non-bilious earlier vomitings with on X-Ray a single gaseous or hydro-aeric image in the stomach without any air in the remainder of the intestine. When the atresia isn't immediately show at surgery, the radiological signs induce to explore the pylorus by using a probe performed from incisions in the prepyloric and duodenal region. This latter is able to detect the fibrous cord and a web which are most frequent.The treatment depends on the anatomical form of the malformation. It can be either a diaphram excision with a pyloroplastiey or pyloroplasty anastomosis or gastrojejunal anastomosis in the presence of a continuity solution or a fibrous cord between the stomach and the first duodenum