All issues > Volume 46(4); 2003

Case Report

J Korean Pediatr Soc. 2003;46(4):393-396. Published online April 15, 2003.

A Case of Ileal Atresia with Hypertrophic Pyloric Stenosis

Byung Chan BC Lim¹, Jung Ha JH Lee¹, Kwang Sig KS Kim², Guk Myung GM Choi³, Kyung Sue KS Shin⁴, Jung Yun JY Hong⁴, Youn Woo YW 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

Correspondence Youn Woo YW 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.

Keywords :Ileal atresia, Hypertrophic pyloric stenosis