Magenausgangsstenose bei Kindern
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Unusual
acquired gastric outlet obstruction during infancy: a case report. upper GI contrast study shows prepyloric stricture.
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Infant with
vomiting. AP image from an upper GI exam shows a persistent thin vertical filling defect which encircles the gastric antrum and causes mild persistent narrowing of the gastric antrum.The diagnosis was gastric antral web.
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Upper GI
series in infants and children with vomiting: insights into ACR appropriateness criteria. Two different patients with gastric outlet obstruction. Upper row neonate with infantile hypertrophic stenosis; a) plain AP view shows air-filled stomach with wave-like contour (caterpillar sign) with paucity of abdominal gas distally; b) lateral view shows very narrowed pyloric canal (string sign, arrow) with delayed gastric emptying; c) ultrasound scan of the pylorus reveals elongated thickened pyloric canal, with length of 20 mm, transverse diameter of 11 mm and single wall thickness 4 mm. d, e) patient with idiopathic acquired gastric outlet obstruction; d) plain AP view shows dilated fluid filled stomach displacing the surrounding gas filled bowel loops; e) UGI series shows the dilated stomach with delayed gastric emptying
Magenausgangsstenose bei Kindern
Magenausgangsstenose Radiopaedia • CC-by-nc-sa 3.0 • de
Gastric outlet obstruction is a syndrome resulting from mechanical obstruction of stomach emptying.
Pathology
Etiology
Gastric outlet obstruction can be due to malignant or benign causes.
Malignant
- adenocarcinoma (second most common )
- GIST
- lymphoma (less common than other malignancies as it is a "soft" tumor )
- metastases
Benign
- duodenal or gastric peptic ulcers (most common )
- pancreatic pseudocysts
- gastric varices
- granulomatous disease, e.g. Crohn disease, sarcoidosis, tuberculosis
- gallstones (Bouveret syndrome): rare
- strictures, e.g. from caustic substance ingestion
- gastric antral web
- gastric volvulus
- Rapunzel syndrome
See also
Siehe auch:
und weiter:
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