Recurrent pyloric stenosis and definitive operative management with repeat pyloromyotomy

Abstract

Laparoscopic pyloromyotomy was completed successfully at 3 weeks of life after the full term delivery of a baby boy. A 3-week-old baby boy initially presented with a typical history and physical examination for hypertrophic pyloric stenosis that was confirmed by ultrasound. His initial recovery was uneventful and he was discharged home tolerating full feeds without emesis. However, he returned with progressively worsening projectile nonbilious emesis two months after his original operation with an upper gastrointestinal series consistent with recurrent pyloric stenosis. He was taken for a second laparoscopic pyloromyotomy and has continued to grow and thrive. Keywords: Recurrent pyloric stenosis, Hypertrophic pyloric stenosis, Pyloromyotomy, Nonbilious vomiting