乳児肥厚性幽門狭窄症の遅発性提示:症例報告
Goytoom Kahsay Berhe1, Reiye Esayas Mengesha1, Hadush Tesfay Negash1
1Department of Surgery, Ayder Comprehensive Specialized Hospital, Mekelle University, Ethiopia.
International journal of surgery case reports
|January 16, 2026
まとめ
本症例報告は、まれな late presentation を呈した乳児肥厚性幽門狭窄症(IHPS)の乳児について詳述する。非典型的なIHPSの症状を早期に認識することは、乳児における適時な診断と治療のために非常に重要である。
科学分野:
- 小児外科
- 消化器病学
背景:
- 乳児肥厚性幽門狭窄症(IHPS)は乳児の嘔吐の一般的な原因であり、通常は生後数週間以内に診断される。
- 幽門筋の肥厚を伴い、胃排出路閉塞を引き起こす。
研究 の 目的:
- 非典型的に遅発性発症した10ヶ月の乳児のIHPSのまれな症例を報告すること。
- IHPSの遅発性提示を認識することの重要性を強調すること。
主な方法:
- 9ヶ月にわたる非胆汁性嘔吐の病歴を持つ10ヶ月の男児の症例報告。
- 幽門筋肥厚を示す腹部超音波検査により診断を確認。
- ラモンシュテット幽門筋切開術による外科的治療。
主要な成果:
- 乳児はIHPSの典型的な年齢範囲を大幅に超えた症状で提示された。
- 術後の回復は迅速で、手術後8時間で摂食が再開され、嘔吐の再発はなかった。
- 超音波検査で幽門筋肥厚が確認され、手術は成功した。
結論:
- IHPSの遅発性提示はまれであるが、高い疑いが必要である。
- 合併症を防ぎ、IHPS症例で良好な転帰を確実にするためには、早期診断と外科的介入が不可欠である。
- 本症例は、年齢に関係なく、持続的な嘔吐を呈する乳児においてIHPSを考慮する必要性を強調する。
関連する概念動画
Esophageal Strictures-II: Clinical Features and Management
439
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...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
439
Esophageal Strictures-I: Introduction
651
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...
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...
651
Esophageal Perforation-II: Clinical Manifestations and Management
505
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
505
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
541
Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
541
Barrett Esophagus-II: Clinical Manifestations and Management
802
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
802
Esophageal Perforation-I: Introduction
418
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
418


