Stomach perforation as a complication of non-diagnosed pyloric atresia type I

Pyloric atresia is a rare malformation with severe complications, if the diagnosis is delayed. We report the case of a 5 day old girl who required an emergency operation because of stomach perforation due to pyloric atresia type I. The assosciation of PA with Epidermyolisis bullosa is well described...

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Main Authors: Silke Steiner, Ammar Alazki, Steffan Loff
Format: Article
Language:English
Published: Elsevier 2022-01-01
Series:Journal of Pediatric Surgery Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213576621003171
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author Silke Steiner
Ammar Alazki
Steffan Loff
author_facet Silke Steiner
Ammar Alazki
Steffan Loff
author_sort Silke Steiner
collection DOAJ
description Pyloric atresia is a rare malformation with severe complications, if the diagnosis is delayed. We report the case of a 5 day old girl who required an emergency operation because of stomach perforation due to pyloric atresia type I. The assosciation of PA with Epidermyolisis bullosa is well described and early imaging as ultrasound and x-ray to exclude pyloric atresia is recommended in children with suspect skin or hereditary predisposition. Otherwise healthy neonates with pyloric atresia run the risk that the sufficient surgical therapy is initiated when complications already appeared. We recommend immediate diagnostic steps to avoid life-threatening consequences when newborns show symptoms of upper gastrointestinal tract obstruction in the first hours of life.
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spelling doaj.art-2b85c06c1f7f45fdb9d3eb6f754a23622022-12-21T18:44:25ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662022-01-0176102096Stomach perforation as a complication of non-diagnosed pyloric atresia type ISilke Steiner0Ammar Alazki1Steffan Loff2Corresponding author.; Department of Pediatric Surgery, Olga Hospital, Klinikum Stuttgart, Stuttgart, GermanyDepartment of Pediatric Surgery, Olga Hospital, Klinikum Stuttgart, Stuttgart, GermanyDepartment of Pediatric Surgery, Olga Hospital, Klinikum Stuttgart, Stuttgart, GermanyPyloric atresia is a rare malformation with severe complications, if the diagnosis is delayed. We report the case of a 5 day old girl who required an emergency operation because of stomach perforation due to pyloric atresia type I. The assosciation of PA with Epidermyolisis bullosa is well described and early imaging as ultrasound and x-ray to exclude pyloric atresia is recommended in children with suspect skin or hereditary predisposition. Otherwise healthy neonates with pyloric atresia run the risk that the sufficient surgical therapy is initiated when complications already appeared. We recommend immediate diagnostic steps to avoid life-threatening consequences when newborns show symptoms of upper gastrointestinal tract obstruction in the first hours of life.http://www.sciencedirect.com/science/article/pii/S2213576621003171Pyloric atresiaStomach perforationUpper gastrointestinal tract obstruction
spellingShingle Silke Steiner
Ammar Alazki
Steffan Loff
Stomach perforation as a complication of non-diagnosed pyloric atresia type I
Journal of Pediatric Surgery Case Reports
Pyloric atresia
Stomach perforation
Upper gastrointestinal tract obstruction
title Stomach perforation as a complication of non-diagnosed pyloric atresia type I
title_full Stomach perforation as a complication of non-diagnosed pyloric atresia type I
title_fullStr Stomach perforation as a complication of non-diagnosed pyloric atresia type I
title_full_unstemmed Stomach perforation as a complication of non-diagnosed pyloric atresia type I
title_short Stomach perforation as a complication of non-diagnosed pyloric atresia type I
title_sort stomach perforation as a complication of non diagnosed pyloric atresia type i
topic Pyloric atresia
Stomach perforation
Upper gastrointestinal tract obstruction
url http://www.sciencedirect.com/science/article/pii/S2213576621003171
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AT ammaralazki stomachperforationasacomplicationofnondiagnosedpyloricatresiatypei
AT steffanloff stomachperforationasacomplicationofnondiagnosedpyloricatresiatypei