Skip to main content
SpringerLink
Log in

Pyloric stenosis in an iniencephalic infant with a congenital intra-thoracic stomach

  • Case Report
  • Published:
Pediatric Surgery International Aims and scope Submit manuscript

Abstract

We report the first case of hypertrophic pyloric stenosis in an intrathoracic stomach in a neonate with congenital ultra-short oesophagus and iniencephaly clausus. Antenatal ultrasound detected right-sided thoracic cystic lesions and postnatal investigations revealed an intra-thoracic stomach and spleen with an ultra-short oesophagus and intact diaphragm. Subsequently, she developed pyloric stenosis. Such neonates require urgent referral to surgical centres for what is a challenging diagnosis and complicated management.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

References

  1. Halder A, Pahi J, Pradhan M, Pandey A, Gujral R, Agarwal SS (1998) Iniencephaly: a report of 19 cases. Indian Pediatr 35:891–896

    PubMed  CAS  Google Scholar 

  2. David T, Nixon A (1976) Congenital malformations associated with anencephaly and iniencephaly. J Med Genet 13:263–265

    Article  PubMed  CAS  Google Scholar 

  3. Leung AW, Lam HS, Chu WC, Lee KH, Tam YH, Ng PC (2007) Congenital intra-thoracic stomach: Short esophagus or hiatal hernia? Neonatology 93(3):178–181

    Article  PubMed  Google Scholar 

  4. Skandalakis JE, Gray SW, Ricketts R (1994) The oesophagus. In: Skandalakis JE, Gray SW (eds) Embryology for surgeons. The embryological basis for the treatment of congenital abnormalities. Williams & Wilkins, Baltimore, MD, pp 65–112

    Google Scholar 

  5. Lewis HL (1897) Inencephalus. Am J Obstet 35:11–53

    Google Scholar 

  6. Pungavkar SA, Sainani NI, Kamik AS, Mohanty PH, Lawande MA, Patkar DP, Sinha S (2007) Antenatal diagnosis of iniencephaly: sonographic and MR correlation: a case report. Korean J Radiol 8:351–355

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Paediatric Surgery, Chelsea & Westminster Hospital NHS Foundation Trust, 369 Fulham Road, London, SW10 9NH, UK

    Clare M. Rees, Tiffany Fan, Munther Haddad & Simon A. Clarke

  2. Department of Neonatology, Chelsea & Westminster Hospital NHS Foundation Trust, 369 Fulham Road, London, SW10 9NH, UK

    Lucinda C. Winckworth

Authors
  1. Lucinda C. Winckworth
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Clare M. Rees
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Tiffany Fan
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Munther Haddad
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Simon A. Clarke
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Lucinda C. Winckworth.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Winckworth, L.C., Rees, C.M., Fan, T. et al. Pyloric stenosis in an iniencephalic infant with a congenital intra-thoracic stomach. Pediatr Surg Int 25, 907–909 (2009). https://doi.org/10.1007/s00383-009-2479-7

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00383-009-2479-7

Keywords

Search

Navigation