Hypertrophic Pyloric Stenosis in Dizygotic Twins: Case Report

Ishan Poudel1

  • 1Pediatrics, Woodhull Medical Center, Brooklyn, USA.

Cureus
|January 14, 2022
PubMed

Insights

Infantile hypertrophic pyloric stenosis (IHPS) is rare in opposite-sex dizygotic twins. This case study explores the factors influencing symptom variability and the underlying mechanisms in this unique presentation.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Genetics

Background:

  • Infantile hypertrophic pyloric stenosis (IHPS) is a common cause of gastric outlet obstruction in infants.
  • Previous literature has extensively documented IHPS incidence and presentation variability.
  • Reports of IHPS in dizygotic twins, particularly of opposite sexes, are exceptionally rare.

Observation:

  • This study presents a rare case of infantile hypertrophic pyloric stenosis (IHPS) in dizygotic twins of opposite sexes (male and female).
  • The case highlights potential differences in symptom onset and severity between the twins.

Findings:

  • Investigates potential genetic and environmental factors contributing to IHPS development in dizygotic twins.
  • Examines the etiological mechanisms and developmental pathways of IHPS in opposite-sex dizygotic twins.
  • Aims to understand the variability in clinical presentation and disease progression within this rare twin cohort.

Implications:

  • Contributes to understanding the complex etiology of IHPS, especially in genetically distinct twins.
  • Provides insights into factors influencing disease manifestation and severity in infantile hypertrophic pyloric stenosis.
  • Highlights the importance of considering twin studies for unraveling multifactorial pediatric disorders.

Related Concept Videos

Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
184
Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
168
Esophageal Strictures-I: Introduction01:30

Esophageal Strictures-I: Introduction

Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
310
Gastritis-II: Pathophysiology01:17

Gastritis-II: Pathophysiology

Gastritis is marked by disruption of the mucosal barrier that usually protects the stomach tissue from digestive juices and manifests in acute and chronic forms.
In acute gastritis, the gastric mucosa becomes swollen and red and undergoes superficial erosion. Superficial ulceration may lead to bleeding.
In chronic gastritis, persistent or repeated insults lead to chronic inflammatory changes and, eventually, thinning or atrophy of the gastric tissue.
Gastritis can stem from various causes, each...
675