Abstract
In this case study, we report a male infant with pyloric atresia, extreme gastric distension, and a caliber-persistent gastric artery (Dieulafoy lesion) with massive gastric bleeding. After a transverse pyloroplasty and endoscopic hemoclip application to the caliber-persistent gastric artery, very slow gastric emptying developed, which required repeated surgical interventions. Gastroduodenostomy failed to promote gastric emptying. The intraoperative and postmortem histologic examinations of the gastric wall revealed a loss of interstitial cells of Cajal, which possibly explains the extreme motility disorder.
Crown Copyright © 2011. Published by Elsevier Inc. All rights reserved.
MeSH terms
-
Abnormalities, Multiple
-
Diseases in Twins*
-
Fatal Outcome
-
Gastric Outlet Obstruction / congenital*
-
Gastric Outlet Obstruction / surgery
-
Gastrointestinal Hemorrhage / congenital
-
Gastrointestinal Hemorrhage / etiology*
-
Gastroparesis / etiology*
-
Gastroparesis / surgery
-
Hematemesis / congenital
-
Hematemesis / etiology
-
Humans
-
Infant, Newborn
-
Infant, Small for Gestational Age
-
Interstitial Cells of Cajal / pathology*
-
Jejunostomy
-
Male
-
Methicillin-Resistant Staphylococcus aureus
-
Pylorus / abnormalities*
-
Reoperation
-
Respiratory Insufficiency / etiology
-
Splenic Artery / abnormalities*
-
Splenic Artery / surgery
-
Staphylococcal Infections / complications
-
Stomach / blood supply*
-
Vascular Malformations / complications
-
Vascular Malformations / surgery