Pyloric duplication with communication to the pancreas in a neonate simulating hypertrophic pyloric stenosis

Anthony C. Chin, Ravi Radhakrishnan, Jesse Lloyd, Marleta Reynolds

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

An 11-day-old neonate presents with worsening nonbilious emesis and radiographic findings suggestive of pyloric stenosis. Using a laparoscopic approach, a slightly asymmetric and hypertrophied pylorus was visualized. The unusual age of presentation and appearance of the pylorus led to the decision to perform an open exploration for suspicion of a pyloric duplication. An incision of the pyloric muscle exposed and confirmed a duplication cyst. Further exposure revealed accessory pancreatic tissue communicating from the cyst to the main body of the pancreas. The duplication cyst and accessory pancreas were resected, and the patient had an uneventful recovery. Pyloric duplication is a rare cause of congenital extrinsic obstruction in the newborn. Even rarer is a communication of the duplication cyst with the pancreas. Resection of the duplication cyst and the aberrant pancreatic tissue and duct is recommended.

Original languageEnglish (US)
Pages (from-to)1442-1444
Number of pages3
JournalJournal of Pediatric Surgery
Volume46
Issue number7
DOIs
StatePublished - Jul 2011
Externally publishedYes

Fingerprint

Hypertrophic Pyloric Stenosis
Cysts
Pancreas
Communication
Newborn Infant
Pylorus
Pyloric Stenosis
Choristoma
Pancreatic Ducts
Vomiting
Muscles

Keywords

  • Accessory pancreas
  • Intestinal duplication
  • Pancreatic heterotopia
  • Pyloric duplication
  • Pyloric stenosis

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

Cite this

Pyloric duplication with communication to the pancreas in a neonate simulating hypertrophic pyloric stenosis. / Chin, Anthony C.; Radhakrishnan, Ravi; Lloyd, Jesse; Reynolds, Marleta.

In: Journal of Pediatric Surgery, Vol. 46, No. 7, 07.2011, p. 1442-1444.

Research output: Contribution to journalArticle

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