Diagnosis and therapy of primary hypertrophic pyloric stenosis in adults: Case report and review of literature

@article{Hellan2007DiagnosisAT,
  title={Diagnosis and therapy of primary hypertrophic pyloric stenosis in adults: Case report and review of literature},
  author={Minia Hellan and Theresa YuLing Lee and Terrence Lerner},
  journal={Journal of Gastrointestinal Surgery},
  year={2007},
  volume={10},
  pages={265-269}
}
Adult idiopathic hypertrophic pyloric stenosis (AIHPS) is a misleading anatomic and radio-clinical entity of unknown etiology. Only about 200 cases have been reported in the literature. It is a benign disease resulting from hypertrophy of the circular fibers of the pyloric canal. Despite the recent progress in radiography and endoscopy, it is very hard to define hypertrophic stenosis in adults. Differentiation of primary from secondary pyloric stenosis is frequently a task of the pathologist… 
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TLDR
A case is reported of a 55 year old male patient with primary hypertrophic pyloric stenosis who was subjected to distal gastrectomy, which is an uncommon condition which is usually misdiagnosed as carcinoma of the antrum.
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TLDR
A case of adult hypertrophic pyloric stenosis presented in an older female with no apparent predisposing factors which might be likely to precipitate the condition, and a partial gastrectomy was eventually done.
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TLDR
A case of adult hypertrophic pyloric stenosis presented in an older female with no apparent predisposing factors which might be likely to precipitate the condition, and a partial gastrectomy was eventually done.
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TLDR
A case is described that is, to the authors' knowledge, the first to be managed by the double pyloroplasty technique, and it is shown that the most appropriate surgical approach for the adult form is as yet undetermined.
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TLDR
The patient was admitted to the service with a history of upper digestive tract pain and postprandial vomiting and diagnosis of benign pyloric stenosis was made preoperatively and the patient was successfully treated by Finney pyloroplasty.
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TLDR
A study of the radiological appearances and pathological features of a series of 17 cases of hypertrophic pyloric stenosis of the adult revealed several interesting features, including varying amounts of fibrous tissue in the hypertrophied smooth muscle in every case.
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Adult hypertrophic pyloric stenosis is an uncommon condition which when encountered is usually mistakenly diagnosed as carcinoma of the antrum. It is a benign disease resulting from hypertrophy of
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TLDR
Iiopathic hypertrophic pyloric stenosis in adults can be treated with laparoscopic pyloroplasty, offering a minimally invasive alternative to open repair.
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TLDR
A case of multinodular hypertrophic pyloric stenosis is described in a 57-year-old woman who had progressive enlargement of several mucosal nodules overlying hypertrophied muscularis, and one nodule obstructed the pylon opening.
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