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

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.

journal_name

J Pediatr Surg

authors

Chin AC,Radhakrishnan RS,Lloyd J,Reynolds M

doi

10.1016/j.jpedsurg.2011.02.045

subject

Has Abstract

pub_date

2011-07-01 00:00:00

pages

1442-4

issue

7

eissn

0022-3468

issn

1531-5037

pii

S0022-3468(11)00159-X

journal_volume

46

pub_type

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