Gastric Outlet Obstruction (GOO) Secondary to Adult Idiopathic Hypertrophic Pyloric Stenosis (AIHPS): A Rare Cause of GOO And Review of Literature
Ibrahim U. Abubakar, Bello B. Muhammed, Bello I. Murtala, Emetuma O. Faruk
Background: An adult form of hypertrophic pyloric stenosis has been recognized since 1835 when Jean Cruveilhier first reported the case of a 72-year-old woman who presented with a lifelong history of dyspepsia and vomiting. Although this disease has received far less attention than its more common pediatric counterpart, reports of cases have continued to appear sporadically since that time. The continuous debate on the fundamental issue of whether the disease entity is congenital or acquired. This report has been prepared not only to add one more case to the literature but also in the hope that a summation of available data may provide sufficient information reasonably to resolve this central problem of aetiology. Case Summary: We report a 60-year-old Male with a lifelong History of recurrent Vomiting which was exercabated a month before presentation. Not a known peptic Ulcer disease patient, no clinical features of gastric or colonic malignancy. He had an upper GI endoscopy which revealed stenosed pylorus with no gastric lesion with abdomino pelvic ultrasound revealing a dilated stomach and hypertrophy of the pylorus he was resuscitated and intraoperative findings revealed markedly dilated stomach stenosed and hypertrophied pylorus no mass lesion on the stomach or peritoneal cavity. Histology revealed hypertrophied pyloric muscles. Objective: We aim to report this case to reawaken our consciousness that even though rare, with a high index of suspicion and availability of endoscopic services, the diagnosis of Adult idiopathic hypertrophic pyloric stenosis(AIHPS) is possible. Conclusion: Idiopathic pyloric stenosis is an Uncommon cause of GOO with a rewarding and good prognosis when promptly managed