Pyloric stenosis diagnostic study of choice: Difference between revisions
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{{CMG}} {{AE}} | {{CMG}} ; {{AE}} {{MMJ}} | ||
{{pyloric stenosis}} | {{pyloric stenosis}} | ||
== Overview == | == Overview == | ||
Ultrasonography is the | [[Medical ultrasonography|Ultrasonography]] is the the modality of choice for the diagnosis of infantile pyloric stenosis.The thickened prepyloric antrum bridging the duodenal bulb and distended [[stomach]] and crowded intervening mucosa that protrudes into the distended portion of the [[antrum]] (nipple sign) may be seen in [[Medical ultrasonography|Ultrasonography]] of patients with infantyle pyloric stenosis. | ||
== Diagnostic Study of Choice == | == Diagnostic Study of Choice == | ||
=== Gold standard of choice: === | === Gold standard of choice: === | ||
* Ultrasonography is the | * [[Medical ultrasonography|Ultrasonography]] is the modality of choice for the diagnosis of infantile pyloric stenosis.<ref name="pmid22696086">{{cite journal| author=Costa Dias S, Swinson S, Torrão H, Gonçalves L, Kurochka S, Vaz CP et al.| title=Hypertrophic pyloric stenosis: tips and tricks for ultrasound diagnosis. | journal=Insights Imaging | year= 2012 | volume= 3 | issue= 3 | pages= 247-50 | pmid=22696086 | doi=10.1007/s13244-012-0168-x | pmc=3369120 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22696086 }} </ref> | ||
* The following result of [[ | * The following result of [[ultrasonography]] is confirmatory of infantile pyloric stenosis: | ||
** Thickened prepyloric antrum bridging the duodenal bulb | ** Thickened prepyloric antrum bridging the duodenal bulb | ||
** Distended [[stomach]] | ** Distended [[stomach]] | ||
** Crowded intervening mucosa that protrudes into the distended portion of the [[antrum]] ('''nipple sign''') | ** Crowded intervening mucosa that protrudes into the distended portion of the [[antrum]] ('''nipple sign''')<ref name="pmid7602686">{{cite journal| author=Hernanz-Schulman M, Dinauer P, Ambrosino MM, Polk DB, Neblett WW| title=The antral nipple sign of pyloric mucosal prolapse: endoscopic correlation of a new sonographic observation in patients with pyloric stenosis. | journal=J Ultrasound Med | year= 1995 | volume= 14 | issue= 4 | pages= 283-7 | pmid=7602686 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7602686 }} </ref> | ||
* Hypertrophied hypoechoic muscle surrounding echogenic mucosa may be seen in the ultrasound of patients with infantile pyloric stenosis called '''target sign'''.<ref name="pmid21475495">{{cite journal| author=Hussain M| title=Sonographic Diagnosis of Infantile Hypertrophic Pyloric stenosis- Use of Simultaneous Grey-scale & Colour Doppler Examination. | journal=Int J Health Sci (Qassim) | year= 2008 | volume= 2 | issue= 2 | pages= 134-40 | pmid=21475495 | doi= | pmc=3068743 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21475495 }} </ref> | |||
[[File:Pyloric_stenosis_nipple_sign_GIF.gif|500px|thumb|left|Ultrasonography showing pyloric stenosis nipple sign [https://radiopaedia.org/articles/antral-nipple-sign source:Case courtesy of Dr Laughlin Dawes , Radiopaedia.org, rID: 8142]]] | |||
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[[File:Hypertrophic-pyloric-stenosis-target sign.jpg|500px|thumb|left|Ultrasonography showing pyloric stenosis target sign [https://radiopaedia.org/cases/51340 source:Case courtesy of Dr Hidayatullah Hamidi, Radiopaedia.org, rID: 51340]]] | |||
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==References== | ==References== | ||
{{reflist|2}} | |||
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[[Category:Surgery]] | |||
[[Category:Gastroenterology]] | |||
[[Category:Disease]] | |||
[[Category:Pediatrics]] | |||
[[Category:Up-To-Date]] | |||
Latest revision as of 20:26, 11 December 2017
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Mohamadmostafa Jahansouz M.D.[2]
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Overview
Ultrasonography is the the modality of choice for the diagnosis of infantile pyloric stenosis.The thickened prepyloric antrum bridging the duodenal bulb and distended stomach and crowded intervening mucosa that protrudes into the distended portion of the antrum (nipple sign) may be seen in Ultrasonography of patients with infantyle pyloric stenosis.
Diagnostic Study of Choice
Gold standard of choice:
- Ultrasonography is the modality of choice for the diagnosis of infantile pyloric stenosis.[1]
- The following result of ultrasonography is confirmatory of infantile pyloric stenosis:
- Hypertrophied hypoechoic muscle surrounding echogenic mucosa may be seen in the ultrasound of patients with infantile pyloric stenosis called target sign.[3]
References
- ↑ Costa Dias S, Swinson S, Torrão H, Gonçalves L, Kurochka S, Vaz CP; et al. (2012). "Hypertrophic pyloric stenosis: tips and tricks for ultrasound diagnosis". Insights Imaging. 3 (3): 247–50. doi:10.1007/s13244-012-0168-x. PMC 3369120. PMID 22696086.
- ↑ Hernanz-Schulman M, Dinauer P, Ambrosino MM, Polk DB, Neblett WW (1995). "The antral nipple sign of pyloric mucosal prolapse: endoscopic correlation of a new sonographic observation in patients with pyloric stenosis". J Ultrasound Med. 14 (4): 283–7. PMID 7602686.
- ↑ Hussain M (2008). "Sonographic Diagnosis of Infantile Hypertrophic Pyloric stenosis- Use of Simultaneous Grey-scale & Colour Doppler Examination". Int J Health Sci (Qassim). 2 (2): 134–40. PMC 3068743. PMID 21475495.