Hypertrophic pyloric stenosis at birth: A case report

Abstract

accurate clinical diagnosis of MO in the neonate requires the combination of family history, physical examination, and radiographic evaluation. To date, however, no evidence for the sensitivity / specificity of imaging modalities in the diagnosis of MO has yet appeared. Meconium-related ileus in mature infants is a relatively uncommon neonatal condition. In the present case, there was no episode of hydramnios and no suspicion of gastrointestinal obstruction, including HD, during the course of the pregnancy. Moreover, there were no risk factors for MRI, including lower birthweight, fetal distress, maternal DM, maternal hypertension, maternal MgSO4 therapy, or cesarean delivery. 4,5 Clinical and radiographic findings also suspected IA but MRI. Once IA is suspected, final confirmation of the diagnosis requires surgical exploration. Although few cases of full-term infants with MRI have been reported, the possibility of MRI should be considered even in full-term newborns with MO. Prompt initiation of treatment, including contrast enema, will allow unnecessary laparotomy to be avoided.