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A Case of Ileal Atresia with Hypertrophic Pyloric Stenosis

Journal of the Korean Pediatric Society 2003;46(4):393-396.
Published online April 15, 2003.
A Case of Ileal Atresia with Hypertrophic Pyloric Stenosis
Byung Chan Lim1, Jung Ha Lee1, Kwang Sig Kim2, Guk Myung Choi3, Kyung Sue Shin4, Jung Yun Hong4, Youn Woo Kim4
1Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea
2Department of General Surgery, College of Medicine, Cheju National University, Jeju, Korea
3Department of Radiology, College of Medicine, Cheju National University, Jeju, Korea
4Department of Pediatrics, College of Medicine, Cheju National University, Jeju, Korea
비후성 유문 협착증을 동반한 선천성 회장 폐쇄증 1례
임병찬1, 이정하1, 김광식2, 최국명3, 신경수4, 홍정연4, 김연우4
1서울대학교 의과대학 소아과학교실
2제주대학교 의과대학 외과학교실
3제주대학교 의과대학 진단방사선과학교실
4제주대학교 의과대학 소아과학교실
Correspondence: 
Youn Woo Kim, Email: yeonukim@cheju.ac.kr
Abstract
Ileal atresia, a subtype of intestinal atresia, is one of the well-recognized causes of bowel obstruction in newborns. Prenatal diagnosis of intestinal atresia is very important in its management and outcome. Unfortunately, there are few cases of ileal atresia diagnosed prenatally, so more appropriate diagnoses and management plans are needed. As an associated gastrointestinal malformation with ileal atresia, hypertrophic pyloric stenosis is rarely reported. We report one case of postnatally diagnosed ileal atresia associated with hypertrophic pyloric stenosis which was complicated initially by bowel perforation and later by vomiting due to pyloric obstruction. Vomiting in the postoperative period is a common problem. But, if vomiting continues after the operation for ileal atresia, hypertrophic pyloric stenosis should be considered as a possible cause of medically retractable non-bilious vomiting.
Key Words: Ileal atresia, Hypertrophic pyloric stenosis


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