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A case of acquired gastric outlet obstruction diagnosed at 16 years of age

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Abstract

A 16-year-old boy was admitted with an 8-year history of abdominal pain, vomiting, and growth retardation. There was no history of peptic ulcer or caustic ingestion. He was severely cachexic, and barium meal showed a dilated stomach with delayed gastric emptying time and no contrast in the duodenum afterward. Exploratory laparotomy demonstrated a grossly dilated stomach with a smooth wall and a stenotic ring at the pylorus but without any muscular hypertrophy. There was no extrinsic compression of the pylorus or any scarring near it. Heineke–Mikulicz’ pyloroplasty was performed. Histopathological examination of the pylorus showed normal cellular pattern without any neoplastic or inflammatory cells. The patient improved postoperatively and gained 8 kg in the first month following the operation.

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Acknowledgment

We thank Associate Professor Dr. Halil Arslan from the Department of Radiology at Yüzüncü Yıl University Faculty of Medicine for reviewing the roentgenograms.

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Authors and Affiliations

  1. Social Security Hospital, Şanliurfa, Turkey

    Mahmut Abuhandan & Selçuk Eskiçubuk

  2. K. Karabekir C. Gölbaşı 3. S., Erkam sitesi, B Blok, No. 3/7, Van, Turkey

    Hüseyin Çaksen

  3. Faculty of Medicine, Yüzüncü Yıl University , Van, Turkey

    Hüseyin Çaksen

Authors
  1. Mahmut Abuhandan
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  2. Hüseyin Çaksen
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  3. Selçuk Eskiçubuk
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Correspondence to Hüseyin Çaksen.

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Abuhandan, M., Çaksen, H. & Eskiçubuk, S. A case of acquired gastric outlet obstruction diagnosed at 16 years of age. Ped Surgery Int 20, 148–150 (2004). https://doi.org/10.1007/s00383-003-1108-0

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  • DOI: https://doi.org/10.1007/s00383-003-1108-0

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