| A Case of Pseudo-Bartter's Syndrome Due to Hypertrophic Pyloric Stenosis |
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Yoon Hee Kim1, Yoon Hee Kim1, Tae Ho Lee1, Tae Ho Lee1, Hong Bae Kim1, Hong Bae Kim1 |
1Department of Pediatrics, Wallace Memorial Baptist Hospital, Pusan, Korea
1Department of Pediatrics, Wallace Memorial Baptist Hospital, Pusan, Korea |
| 비후성 유문 협착증에 의한 가성 Bartter 증후군 1례 |
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김윤희1, 김윤희1, 이태호1, 이태호1, 김홍배1, 김홍배1 |
1부산 왈레스 기념 침례병원 소아과
1부산 왈레스 기념 침례병원 소아과 |
Correspondence:
Yoon Hee Kim, Email: RASHOMON@lycos.co.kr
Yoon Hee Kim, Email: RASHOMON@lycos.co.kr
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| Abstract |
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We report a 3-month old boy admitted to our hospital with Bartter's syndrome like symptoms and laboratory findings, which were vomiting, failure to thrive, hypochloremic and hypokalemic metabolic alkalosis associated with hyperreninemia, hyperaldosteronism and normal blood pressure. However, the urine chloride level was low. Hypertrophic pyloric stenosis was diagnosed through abdominal ultrasonography. Fredet-Ramstedt operation was done after electrolyte correction. After surgery he made a good recovery and gained body weight. The electrolytes maintained within a normal limit without any potassium supplementations after surgery. Differential diagnosis from Bartter's syndrome was made on the basis of a decrease in urine chloride and the non-necessity for potassium supplementation after surgery. It is relatively rare for hypertrophic pyloric stenosis to induce pseudo-Bartter's syndrome. The importance of considering this diagnosis in such cases is discussed. |
| Key Words:
Pseudo-Bartter's syndrome, Hypertrophic pyloric stenosis |
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