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Correlapaedia - a Correlative Encyclopedia of Pediatric Imaging, Surgery, and Pathology
The patient was a 4 week old male, status post primary repair of esophageal atresia with distal tracheoesophageal fistula, who is in the intensive care unit, who had been vomiting up his G-tube feeds for the last 24 hours.
Clinical Physical Exam:
A palpable olive was present in the mid abdomen.
Clinical Differential Diagnosis:
An upper GI at 4 weeks of age showed pyloric channel narrowing. An ultrasound examination of the pylorus from later the same day demonstrated marked thickening and elongation of the pylorus.
Images 1, 2, and 3
Images 4, 5, and 6
Imaging Differential Diagnosis:
Two days later the patient underwent a pyloromyotomy on a hypertrophied and thickened pylorus.
Hypertrophic Pyloric Stenosis
Follow-up and Prognosis:
The patient had an uncomplicated post-operative course.
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