DOI: 10.21276/sasjm.2019.5.1.1

Pages: 1-3

In children, idiopathic hypertrophic pyloric stenosis (IHPS) is a relatively common disease (1). However, in adults it is a rare cause of gastric obstruction (2,3). We report a case of a 55-year-old female patient who presented with chronic postprandial vomiting associated to epigastric pain and fullness. She underwent upper gastrointestinal endoscopy that showed residual food and a distended stomach with a constricted and impenetrable pylorus. The upper gastrointestinal barium study showed a distended stomach with delayed gastric emptying due to pyloric stenosis. The abdominal CT scan revealed thickening of the distal stomach. The patient underwent a gastrectomy with gastrojejunal anastomosis. The pathology revealed hypertrophy and hyperplasia of the inner circular muscle of the pylorus without any malignancy, which was compatible with IHPS. We reported this case to clarify this rare disease