Congenital Antral Web in Premature Baby
남소현, 구수현, 정미림, 정유진, 임윤정,
소속 상세정보
남소현 ( Nam So-Hyun )
Inje University Haeundae Paik Hospital Department of Pediatric Surgery
구수현 ( Koo Soo-Hyun )
Inje University Haeundae Paik Hospital Department of Pediatrics
정미림 ( Chung Mi-Lim )
Inje University Haeundae Paik Hospital Department of Pediatrics
정유진 ( Jung Yu-Jin )
Inje University Haeundae Paik Hospital Department of Pediatrics
임윤정 ( Lim Yun-Jung )
Inje University Haeundae Paik Hospital Department of Radiology
KMID : 0816120130160010049
Abstract
Antral web is a rare cause of gastric outlet obstruction in neonate. It is a 2-4 mm thin mucous membrane that can be found anywhere from 1 to 7 cm proximal to the pylorus. The baby was born at gestational age of 32+1 weeks with 1,880 g as 2nd baby of dizygotic twin. After birth, the baby had constant non-bilious vomiting without feeding while he didn’t show abdominal distension or discoloration. The infantogram showed distended stomach with distal small bowel gas. Upper gastrointestinal series revealed that the antrum was abruptly narrowed at 1 cm proximal to pylorus. We performed laparotomy at the 10th day after birth and excised the 2 mm-thick web circumferentially. He began milk feeding after 6 days and discharged uneventfully at postoperative 35 days with corrected age of 38+4 weeks with body weight 2,420 g. The antral web should be considered in the case of non-bilious vomiting in neonate.
키워드
Gastric outlet obstruction;Antrum;Web;Vomiting
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