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[Antral membrane. Presentation of a case]
Insights
A rare case of antral membrane caused rapid malnutrition in a child. Early diagnosis via clinical history, upper GI (UGI) imaging, and endoscopy is crucial for prompt surgical intervention.
Area of Science:
- Pediatric Gastroenterology
- Surgical Case Reports
Background:
- Gastric outlet obstruction in children can present with severe symptoms.
- Antral membranes are a rare congenital anomaly causing gastric outlet obstruction.
Observation:
- A 23-month-old child presented with rapid weight loss, vomiting, and acute malnutrition.
- Upper GI (UGI) series revealed a probable antropyloric obstruction.
Findings:
- Endoscopy confirmed the presence of an antral membrane causing the obstruction.
- Surgical intervention was necessary to correct the anomaly.
Implications:
- This case highlights the importance of a thorough clinical history in evaluating pediatric vomiting.
- Integrating radiological and endoscopic procedures is vital for accurate diagnosis and management of gastric outlet obstruction.
Abstract:
A case of antral membrane in a 23 month old child is presented. He developed an extremely rapid clinical course characterized by vomiting, 4 kg weight loss and acute malnutrition. The UGI showed a probable antropyloric obstruction which was confirmed by endoscopy and lately by surgery. It is suggested that in the approach of a patient with vomit it is very important to make an oriented clinical history and always complete the study of the patients with radiological and endoscopic procedures.