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Gastric emphysema in infants with hypertrophic pyloric stenosis
AJR. American Journal of Roentgenology
|September 1, 1978
Insights
Gastric emphysema is rare in children but can occur with hypertrophic pyloric stenosis. Early diagnosis via lateral radiography is crucial for proper treatment and improved outcomes.
Area of Science:
- Pediatric Gastroenterology
- Medical Imaging
- Radiology
Background:
- Gastric emphysema, air within the stomach wall, is an uncommon condition in pediatric patients.
- It is rarely associated with gastric outlet obstruction, particularly in infants with hypertrophic pyloric stenosis.
Observation:
- This study describes three infant cases presenting with gastric emphysema secondary to hypertrophic pyloric stenosis.
- Clinical manifestations and characteristic radiographic findings of this association are detailed.
Findings:
- The lateral radiograph is highlighted as a valuable tool for diagnosing gastric emphysema in this context.
- The study emphasizes the importance of accurate radiologic diagnosis for appropriate management.
Implications:
- Prompt and correct diagnosis of gastric emphysema in infants with hypertrophic pyloric stenosis can lead to effective therapeutic interventions.
- Understanding this rare association aids in differential diagnosis and patient management in pediatric emergency settings.
Abstract:
Gastric emphysema in unusual in infants and children. Air in the wall of the stomach can rarely occur in children with gastric outlet obstruction due to hypertrophic pyloric stenosis. The clinical features and radiographic appearance of this association are described in three infants, and the value of the lateral radiograph is illustrated. The differential diagnostic considerations, importance of correct radiologic diagnosis and results of proper therapy are discussed.