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Klin Padiatr 2019; 231(01): 43-45
DOI: 10.1055/a-0641-6067
Short Communication
© Georg Thieme Verlag KG Stuttgart · New York

Recurrent Nausea and Vomiting in a Teenager – A Rare Disease with Common Symptoms

Übelkeit und rezidivierendes Erbrechen bei einem Teenager – Eine seltene Erkrankung mit häufigen Symptomen
Aneta Krogulska
1   Department of Pediatrics, Allergology and Gastroenterology, Collegium Medicum Bydgoszcz, NCU Torun, Poland
,
Katarzyna Grzelak-Czachorowska
1   Department of Pediatrics, Allergology and Gastroenterology, Collegium Medicum Bydgoszcz, NCU Torun, Poland
,
Irena Daniluk-Matraś
2   Clinical Ward of General and Oncological Surgery for Children and Adolescents, Collegium Medicum Bydgoszcz, NCU Torun, Poland
,
Renata Kuczyńska
1   Department of Pediatrics, Allergology and Gastroenterology, Collegium Medicum Bydgoszcz, NCU Torun, Poland
,
Anna Szaflarska-Poplawska
3   Department of Pediatric Endoscopy and Gastrointestinal Function Testing, Collegium Medicum Bydgoszcz, NCU Torun, Poland
› Author Affiliations
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Publication History

Publication Date:
25 July 2018 (online)

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Introduction

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.