HYPERTROPHIC PYLORIC STENOSIS IN TWO MONTHS OLD INFANT
Nisa Haska Maulina,Yusri Dianne Jurnalis,M Hafiz Nasrulloh,Yorva Sayoeti
Faculty of Medicine Andalas University
Background : Hypertrophic Pyloric stenosis (HPS) is the most common gastrointestinal disease in the first few weeks of life. There is a male predominance of approximately 4:1. HPS usually occurs at the age 2-8 weeks. The typical physical examination findings in these patients include visible peristaltic waves in the epigastrium and the presence of a palpable mass in the upper abdomen. Abdominal ultrasonography (USG) has become standard examination to diagnose HPS. Pyloromyotomy remains the standard therapy for with excellent outcome.
Case Presentation Summary : Two months old infant came to RSUP M Djamil Padang Hospital with recurrent non billious projectile vomiting since 2 week before admission. The vomite usually occured after drink a formula milk. Patient came with moderate dehydration and fever. The gastric wave was found in physical examination. There was no olive sign in this patient. Patient was perform abdominal USG with result suspected HPS. Patient also performed Barium meal examination with imppression was HPS. Patient was performed pyloromyotomy with good outcome and there was no complications.
Learning Points/Discussion : HPS patients can be identified with careful examination. Onset of illnes mostly occurs at 2-8 weeks of life. Gastric wave and olive sign are the typical physical examination findings in this patient. Abdominal USG and Barium Meal can establish the diagnosis. The pyloromyotomy must be perform as soon as possible to prevent complication