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Infantile Hypertrophic Pyloric Stenosis Without Metabolic Alkalosis: A Report of Two Cases

Ruhi Shaligram1, Sudhir Malwade1, Balakrushna P Garud1

  • 1Pediatrics, Dr. D.Y. Patil Medical College, Hospital and Research Centre, Pune, IND.

Cureus
|October 4, 2024
PubMed

Insights

Infantile hypertrophic pyloric stenosis (IHPS) can present with metabolic acidosis, not just alkalosis. This finding challenges typical biochemical expectations for IHPS, suggesting complex underlying mechanisms.

Area of Science:

  • Pediatrics
  • Gastroenterology
  • Biochemistry

Background:

  • Infantile hypertrophic pyloric stenosis (IHPS) classically causes gastric outlet obstruction.
  • Typical IHPS biochemical findings include hypochloremic, hypokalemic metabolic alkalosis.
  • This presentation can complicate diagnosis and management.

Keywords:
gastric outlethypertrophyinfantile hypertrophic pyloric stenosismetabolic acidosispylorus

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