AIMS In infants with pyloric stenosis we explored (a) if males develop symptoms and present to hospital earlier than females and (b) does any delay in presentation influence the severity of metabolic derangement. METHOD A retrospective casenote review of 99 infants who underwent pyloromyotomy (with confirmation of pyloric stenosis) over a two year period (Jan 2006-Dec 2007) in our hospital. T...

Introduction: Adult idiopathic hypertrophic pyloric stenosis (AIHPS) is a rare entity. The most common clinical symptom is abdominal distention relieved by vomiting. There are several treatment modalities for relief of the pyloric obstruction. Case Description/Technique: A 43-year-old woman presented with a long history of epigastric pain, nausea, vomiting, and bloating, which appeared to be ca...

Sir, I should like to report a case of hypertrophic pyloric stenosis presenting at the age of 2 years 6 months. This male, only child was admitted with a 5-day history of fever and vomiting, which was not bile stained. His past history was normal and he had not vomited in infancy. The vomiting settled within two days and he was discharged to be readmitted 8 days later with a recurrence of his s...

Results A sixty-two year-old female presented in May 2009 with an eighteen-month history of dysphagia due to a chronic benign esophageal structure, presumed secondary to previous radiotherapy treatment for breast cancer. She complained of occasional heartburn, indigestion and cough and described a 60lbs weight loss due to tolerance of a liquid only diet. She had a fifteen-year smoking history. ...

BACKGROUND Child health is a key priority on the global health agenda, yet the provision of essential and emergency surgery in children is patchy in resource-poor regions. This study was aimed to determine the mortality risk for emergency abdominal paediatric surgery in low-income countries globally. METHODS Multicentre, international, prospective, cohort study. Self-selected surgical units p...

To cite: Patel RV, Wockenforth R, Milliken I, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013201435 DESCRIPTION A 5-week old full-term previously healthy first-born male infant presented with apnoea, desaturations, increasing lethargy, anuria for 1 day and constipation for 5 days. This was on a background of persistent projectile non-bilious vomiting f...

A 22-day-old healthy appearing male infant presented with persistent vomiting after feeding with onset shortly after birth. This is the father’s second child and the mother’s first. Switching formulas had been unsuccessful. Abdominal X-ray (AXR) revealed a dilated air-filled stomach with a nonspecific bowel gas pattern (Fig. 1). Ultrasound (US) demonstrated a thick and elongated pylorus, confir...

BACKGROUND The past 2 decades have seen a rapid integration of minimally invasive surgery (MIS) to pediatric surgical practice. This study endeavored to delineate the current status of MIS in pediatric surgery. METHODS Three hundred six pediatric surgeons were invited to participate in an anonymous Web-based survey. Apart from demographic details and opinion regarding robotic surgery, surgeon...