DOI: 10.36347/sjams.2020.v08i12.031

Pages: 2845-2850

Introduction: Infantile hypertrophic pyloric stenosis (IHPS) is characterized by hypertrophy of the pyloric muscularis propria, predominantly involving the circular layer and subsequent narrowing of the pyloric outlet. Aim of the Study: To find out the correlation of clinical findings and ultrasonography findings in diagnosis of infantile hypertrophic pyloric stenosis. Material & Methods: This prospective comparative study was conducted in Dhaka Shishu (Children) Hospital, Dhaka, Bangladesh during the period from February 1997 to October 1998 in a period of 21 months. The data were collected for all 31 patients. Following, collection of all the required data, these were checked, and tabulated into the computer using the SPSS/PC software 23. Results: During my study period February 1997 to October 1998 total surgical admission was 4006 and infantile hypertrophic pyloric stenosis patients (IHPS) were 31. So IHPS represented .77% of the total surgical admission during the study period in DSH. Correlation of clinical and ultra-sonogram findings with operative finding, clinical findings true +ve 20(64.52%), true –ve 2(6.45%), false +ve 1(3.23),false –ve 8(25.81) and ultra-sonogram observation true +ve 27(87.10%),true –ve 2(6.45%),false +ve 2(6.45%), false –ve 2(6.45%)and then finally operation needed IHPS 29(93.35%) also others than IHPS 2(6.45%). Correlation of pattern of sensitivity and specificity in clinical findings 93.1% and 50%, ultra-sonogram findings 71.43% and 66.67%. Conclusion: In conclusion we would like to advice that infantile hypertrophic pyloric stenosis is a most common cause of non-bilious vomiting in an infant. Its diagnosis not so difficult in most cases. The diagnosis being made primarily by palpation of the hypertrophied pylorus.