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Pyloric stenosis in an iniencephalic infant with a congenital intra-thoracic stomach
Lucinda C Winckworth1, Clare M Rees, Tiffany Fan
1Department of Paediatric Surgery, Chelsea & Westminster Hospital NHS Foundation Trust, 369 Fulham Road, London, SW10 9NH, UK. lucinda.w@doctors.net.uk
Abstract:
We report the first case of hypertrophic pyloric stenosis in an intrathoracic stomach in a neonate with congenital ultra-short oesophagus and iniencephaly clausus. Antenatal ultrasound detected right-sided thoracic cystic lesions and postnatal investigations revealed an intra-thoracic stomach and spleen with an ultra-short oesophagus and intact diaphragm. Subsequently, she developed pyloric stenosis. Such neonates require urgent referral to surgical centres for what is a challenging diagnosis and complicated management.
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