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Early infantile hypertrophic pyloric stenosis: surgery at 26 hours of age
1Department of Surgery, University of Science and Technology, Irbid, Jordan.
Insights
This case report details the youngest baby operated on for infantile hypertrophic pyloric stenosis at 26 hours old. It highlights rare, early-onset symptoms of this condition in newborns.
Area of Science:
- Pediatric Surgery
- Neonatal Medicine
- Gastroenterology
Background:
- Infantile hypertrophic pyloric stenosis (IHPS) typically presents around 3.5 weeks of age.
- While rare, symptom onset can occur at birth or be delayed up to 3 months.
- Vomiting from birth and early symptom onset requiring surgery within the first 1-2 days of life have been documented.
Observation:
- A newborn presented with symptoms of hypertrophic pyloric stenosis on the first day of life.
- This case involved the earliest documented surgical intervention for IHPS.
Findings:
- The presented case involved a baby operated on for IHPS at 26 hours of age.
- This represents the youngest infant reported to undergo surgery for this condition.
Implications:
- This case expands the known spectrum of early IHPS presentation.
- It underscores the importance of considering IHPS in neonates with vomiting, regardless of age.
- Further research into the factors influencing extremely early IHPS onset may be warranted.
Abstract:
A newborn baby with hypertrophic pyloric stenosis on the first day of life is presented with a review of the literature regarding this early age of onset. The average age at onset of symptoms is usually 3.5 weeks. Very rarely symptoms start at birth or are sometimes delayed until 3 months of age or more (20). There are several reports (2, 3, 5, 6, 11, 14, 18, 19) of infants with onset of symptoms and eventual operation within the first day or two of life and indeed with vomiting from birth (2, 3, 5, 6, 11, 14, 18, 19). To our knowledge this case report documents the youngest baby ever operated upon for infantile hypertrophic pyloric stenosis at 26 hours of age.