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The pyloric tit sign is a radiological finding observed during barium studies in cases of hypertrophic pyloric stenosis. [1] It appears as an outpouching on the lesser curvature of the stomach, just proximal to the impression created by the hypertrophied pyloric muscle.
Pyloric stenosis as seen on ultrasound in a 6-week-old [13] Diagnosis is via a careful history and physical examination, often supplemented by radiographic imaging studies. Pyloric stenosis should be suspected in any infant with severe vomiting. On physical exam, palpation of the abdomen may reveal a mass in the epigastrium.
The pyloromyotomy is primarily indicated by the presence of hypertrophic pyloric stenosis. [5] [1] Hypertrophic Pyloric stenosis is a gastrointestinal tract defect, most commonly seen in young children, typically in the first few months of life, caused by enlargement of the tissue in the pyloric muscle.
Barium X-ray examinations are useful tools for the study of appearance and function of the parts of the gastrointestinal tract. They are used to diagnose and monitor esophageal reflux, dysphagia, hiatus hernia, strictures, diverticula, pyloric stenosis, gastritis, enteritis, volvulus, varices, ulcers, tumors, and gastrointestinal dysmotility, as well as to detect foreign bodies.
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In infants with hypertrophic pyloric stenosis, the pylorus is narrowed and the radio-opaque material will take on the appearance of a thin string as it passes through this narrowed channel. Often, there are several of these strings seen (called the "railroad track sign").
infantile hypertrophic pyloric stenosis IHSS: idiopathic hypertrophic subaortic stenosis (hypertrophic cardiomyopathy) II: intellectual impairment: IIEF: International Index of Erectile Function: ILD: interstitial lung disease ILI: Influenza-like illness: IM: intramuscular: IMA: inferior mesenteric artery: IMB: intermenstrual bleed (bleeding ...
Pyloric stenosis (in babies, this typically causes a very forceful "projectile vomiting" and is an indication for urgent surgery) Bowel obstruction; Overeating (stomach too full) Acute abdomen and/or peritonitis; Ileus; Food allergies (often in conjunction with hives or swelling) Cholecystitis, pancreatitis, appendicitis, hepatitis; Food poisoning