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CT findings in a child with reflux oesophagitis

Stanley Crankson1, Mohammed J Al Salman, Khalid A Al Mane

  • 1King Abdulaziz Medical City-Riyadh, King Fahad National Guard Hospital P.O. Box 22490, Riyadh 11426, Saudi Arabia. cranksons@yahoo.com

Tropical Gastroenterology : Official Journal of the Digestive Diseases Foundation
|August 12, 2004
PubMed

Insights

A 7-month-old infant experienced persistent vomiting. Treatment involved esophageal dilatation and Nissen fundoplication, leading to a successful outcome at two-year follow-up.

Area of Science:

  • Pediatric Gastroenterology
  • Surgical Gastroenterology

Background:

  • Infantile vomiting can indicate underlying esophageal pathology.
  • Lower esophageal wall thickening requires investigation for obstructive or inflammatory causes.

Observation:

  • A 7-month-old boy presented with congenital vomiting.
  • Computed tomography revealed circumferential lower esophageal wall thickening and mucosal enhancement.

Findings:

  • The patient received antireflux medication.
  • Simultaneous esophageal dilatation and Nissen fundoplication were performed.

Implications:

  • This case highlights a successful combined surgical approach for complex infantile esophageal issues.
  • Early intervention and surgical management can lead to positive long-term outcomes in infants with esophageal abnormalities.

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