Infantile hypertrophic pyloric stenosis in a Third-World environment
Emmink, B.; Hadley, G.P.; Wiersma, R.
South African Medical Journal 82(3): 168-170
1992
ISSN/ISBN: 0256-9574 PMID: 1519137 Document Number: 394709
Sixty-two consecutive patients with hypertrophic pyloric stenosis, presenting over a 6-year period, are reported. The sequelae of late presentation and diagnostic delay are outlined. Clinical diagnosis may be difficult. Barium meal examination has proved a more useful single investigation than ultrasonography, although these methods of investigation are complementary. Management difficulties include severe biochemical derangement, correction of which delays surgery. In black communities pyloric stenosis remains a rare condition and heightened clinical awareness remains the most important means of achieving earlier diagnosis.