Gastric outlet obstruction secondary to adult hypertrophic pyloric stenosis: case report and literature review

Citlali Calderón; Steve Belmont

doi:10.18203/2320-6012.ijrms20240854

Authors

Citlali Calderón Department of General Surgery, Hospital Dr. Fernando Quiroz Gutierrez Institute for Social Security and Service for State Workers ISSSTE, Mexico City, Mexico
Steve Belmont Department of General Surgery, Hospital Dr. Fernando Quiroz Gutierrez Institute for Social Security and Service for State Workers ISSSTE, Mexico City, Mexico; Department of Endoscopy, Hospital Dr. Fernando Quiroz Gutiérrez, Institute of Social Security and Health Service State Workers, ISSSTE, Mexico City, Mexico

DOI:

https://doi.org/10.18203/2320-6012.ijrms20240854

Keywords:

Adult hypertrophic pyloric stenosis, Gastric outlet obstruction

Abstract

Adult hypertrophic pyloric stenosis is a rare entity; the most common type is secondary to underlying gastrointestinal pathologies, such as peptic ulcer, malignant tumors, and certain inflammatory diseases. A rare case of hypertrophic pyloric stenosis is presented in an adult patient secondary to acid peptic disease, presenting with gastric outlet obstruction, treated in the first instance with pyloric dilation successfully, however, the clinical picture has recurred now with 90% hypertrophic pyloric stenosis, it was decided to perform a surgical procedure with roux-en-Y gastrojejunal diversion, progressing with adequate evolution. There is no consensus on which is the most effective treatment. However, most authors seem to favor gastric resection due to the risk of malignancy secondary to long-standing hypertrophic pyloric stenosis.

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