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Clinical and Radiological Findings

Eric D. Tack, MD; Jeffrey M. Perlman, MB; Richard J. Bower, MD; William H. McAlister, MD

Am J Dis Child. 1988;142(1):68-70.

Abstract
• The clinical and radiographic features of five sick premature infants with idiopathic hypertrophic pyloric stenosis are presented. Clinical features were nonspecific, the common findings being recurrent nonbilious emesis, persistent abdominal distention, and the inability to place a nasojejunal feeding tube through the pylorus. Plain abdominal radiographs demonstrated persistent gastric dilatation in four of the infants. idiopathic hypertrophic pyloric stenosis should be considered in the differential diagnosis of premature infants with upper gastrointestinal tract symptoms.

(AJDC 1988;142:68-70)

Author Affiliations
From the Divisions of Newborn Medicine (Drs Tack and Perlman) and Pediatric Surgery (Dr Bower), Edward Mallinckrodt Department of Pediatrics, Children's Hospital, and the Mallinckrodt Institute of Radiology (Dr McAlister), Washington University School of Medicine, St Louis.

Footnotes
Accepted for publication July 30, 1987.

Reprint requests to Division of Newborn Medicine, Children's Hospital at Washington University Medical Center, 400 S Kingshighway, St Louis, MO 63110 (Dr Perlman).

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