Antral mucosal diaphragms in infants and children

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Updated: Aug 9, 2026

Measuring Diaphragm Thickness and Function Using Point-of-Care Ultrasound
05:51

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Published on: November 3, 2023

J R Jinkins, T I Ball, J L Clements

    Pediatric Radiology
    |February 1, 1980
    PubMed

    Insights

    Antral mucosal diaphragms in children are rare. Some cases require surgery for gastric outlet obstruction, while others can be monitored without intervention.

    Area of Science:

    • Pediatric Surgery
    • Gastroenterology
    • Anatomical Abnormalities

    Background:

    • Antral mucosal diaphragm is a rare congenital anomaly.
    • Previous literature reports 48 cases in infants and children.
    • This study reviews 6 pediatric cases encountered by the authors.

    Purpose of the Study:

    • To characterize antral mucosal diaphragms in pediatric patients.
    • To differentiate between cases requiring surgical intervention and those managed conservatively.
    • To correlate diagnostic findings with clinical outcomes.

    Main Methods:

    • Review of 6 pediatric cases with antral mucosal diaphragms.
    • Analysis of clinical presentation, diagnostic methods, and treatment outcomes.
    • Literature review of previously reported cases.

    Main Results:

    • Six pediatric patients with antral mucosal diaphragms were identified.
    • Three patients required surgery due to symptoms of partial gastric outlet obstruction.
    • Three patients had incidental findings or mild symptoms, managed conservatively.
    • Diagnosis was confirmed via upper gastrointestinal series, with clinical assessment guiding surgical decisions.

    Conclusions:

    • Antral mucosal diaphragms present in two distinct clinical groups.
    • Surgical intervention is indicated for symptomatic partial gastric outlet obstruction.
    • Asymptomatic or incidentally found diaphragms can be managed non-surgically.
    • Clinical evaluation is paramount in determining the need for surgery.

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