Recurrent Nausea and Vomiting in a Teenager – A Rare Disease with Common SymptomsÜbelkeit und rezidivierendes Erbrechen bei einem Teenager – Eine seltene Erkrankung mit häufigen Symptomen
25 July 2018 (eFirst)
The presence of obstructive lesions in the region of the pyloric channel or proximal duodenum can result in gastric outlet obstruction (GOO). GOO has been classified as congenital or acquired (Otjen J et al. Pediatr Radiol 2012; 42: 728–737): The congenital form can be caused by duodenal atresia, duodenal web, annular pancreas, pyloric web, pyloric atresia, malrotation or infantile hypertrophic pyloric stenosis (IHPS), and the acquired form by peptic ulcer, acute pancreatitis, neoplasia and acid or alkali ingestion (Reddy R et al. Gastrointestinal Endosc 2015; 81: 775–776). IHPS is the most common cause in children, while peptic ulcer and malignancy are frequently seen in adult. Although the symptoms of GOO may vary, recurrent vomiting is the cardinal symptom. GOO can represent a challenge to diagnose and treat.