Demographics:
2 months old, Female
Indication:
Projectile vomiting (term delivery)
Findings
- Pyloric channel measures approximately 15 mm in length (it was over-measured at 22 mm)
- Single wall muscle thickness measures approximately 3 mm (it was over-measured at 4 mm several times)
- Opening of the pyloric channel during real-time imaging with passage of fluid into the duodenum
Diagnosis
Negative pyloric ultrasound
Sample Report
Borderline increased pyloric channel length measuring approximately 15 mm and borderline increased pyloric single wall muscle thickness measuring 3 mm with relaxation of the pylorus and passage of fluid into the duodenum during real-time observation. These findings are not currently consistent with hypertrophic pyloric stenosis, though repeat imaging should be considered if symptoms persist or worsen.
Discussion