Prostaglandin induzierte Gastritis

Infant with

hypoplastic left heart syndrome on prostaglandin E to keep their ductus arteriosus patent who is continuously vomiting with feedsTwo lateral images from an upper GI (above) show persistent narrowing of the pylorus causing relative gastric outlet obstruction. Sagittal (left below) and transverse (right below) US of the pylorus shows the central echogenic gastric mucosa to be thickened and the pyloric muscle outside of it to be normal in diameter. The patient was also noted to be malrotated.The diagnosis was prostaglandin E induced gastritis.

Infant with

vomiting in a patient with ductal-dependent congenital heart disease. AP image from an upper GI exam (above) shows persistent narrowing of the pyloric channel. Transverse US of the pylorus (below) shows marked thickening of the central hyperechoic pyloric mucosa and a normal thin appearance of the peripheral hypoechoic pyloric muscle which measures 1.2 mm thick.The diagnosis was prostaglandin E induced gastritis.