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Idiopathic Hypertrophic Pyloric Stenosis in the Adult: A Review of the Literature and the Report of Two Cases

Idiopathic Hypertrophic Pyloric Stenosis in the Adult: A Review of the Literature and the Report... Abstract Since the occurrence of idiopathic hypertrophic pyloric stenosis in the adult is rare, no surgeon has had vast experience in the management of patients with this condition. The gross pathologic anatomy of this lesion is apparently identical with that of the common, more easily diagnosed infantile form of hypertrophic pyloric stenosis, and it is possible that these 2 clinical entities are related. Cruvielhier (cited by Mack20) (1835) was the first to describe the pathologic anatomy of hypertrophic pyloric stenosis in an adult. His case occurred in a 72-year-old woman with a long history of vomiting. Maier21 in 1885 first described it as a clinical entity based on pathologic findings at necropsy. The first surgical cure in an adult was reported by Mayo-Robson22 in 1904, who utilized a gastroenterostomy. Two patients with this condition were recently encountered at the Veterans Administration Hospital, Oteen, N.C. These 2 cases directed References 1. Ackerman, F. D.: A Case of Congenital Hypertrophic Pyloric Stenosis in a Man Aged Seventy-Two , Canad. Med. Ass. J. 21:423, 1929. 2. Armitage, G., and Rhind, J. A.: The Fate of the Tumor in Infantile Hypertrophic Pyloric Stenosis , Brit. J. Surg. 39:39, 1951.Crossref 3. Belding, H. H., and Kernohan, J. W.: A Morphologic Study of the Myenteric Plexus and Musculature of the Pylorus with Special Reference to the Changes in Hypertrophic Pyloric Stenosis , Surg. Gynec. Obstet. 97:322, 1953. 4. Bockus, H. H.: Gastroenterology , Vol. 1, Philadelphia, W. B. Saunders Company, 1946, p. 759. 5. Connolly, J. E.: Hypertrophic Pyloric Stenosis in the Adult , Amer. J. Surg. 89:1123, 1955.Crossref 6. Craver, W. L.: Hypertrophic Pyloric Stenosis in Adults , Gastroenterology 33:914, 1957. 7. DeLorimier, A. A., and Hieda, I.: Hypertrophic Antral and Pyloric Musculature in the Adult , Amer. J. Gastroent. 25:486, 1956. 8. Desmond, A. M., and Swynnerton, B. F.: Adult Hypertrophy of the Pylorus , Brit. Med. J. 1:968, 1957.Crossref 9. Donovan, E. J.: Congenital Hypertrophic Pyloric Stenosis , Ann. Surg. 124:708, 1946.Crossref 10. Dulin, J. W., and Ady, A. E.: Hypertrophic Pyloric Stenosis , J. Iowa Med. Soc. 41:188, 1951. 11. Fenwick, T.: Familial Hypertrophic Pyloric Stenosis , Brit. Med. J. 2:12, 1953.Crossref 12. Geist, D. C.: Hypertrophic Pyloric Stenosis in the Adult , Amer. J. Surg. 91:845, 1956.Crossref 13. Greenfield, H.: Hypertrophic Pyloric Stenosis in Adults , Ann. Intern. Med. 34:492, 1951.Crossref 14. Katz, A.: Hypertrophic Pyloric Stenosis in the Adult , Amer. J. Dig. Dis. 14:85, 1947.Crossref 15. Kirklin, B. R., and Harris, M. T.: Hypertrophy of the Pyloric Muscle of Adults: A Distinctive Roentgenologic Sign , Amer. J. Roentgenol. 29:437, 1933. 16. Kleitsch, W. P.: Diagnosis and Treatment of Pyloric Hypertrophy in the Adult , A.M.A. Arch. Surg. 65:655, 1952.Crossref 17. Knight, C. D.: Hypertrophic Pyloric Stenosis in the Adult , Ann. Surg. 153:899, 1961.Crossref 18. Laube, P. J.: Hypertrophic Pyloric Stenosis in the Adult: A Case Report , J. Iowa Med. Soc. 8:459, 1958. 19. Lunsden, K., and Truelove, S. C.: Primary Hypertrophic Pyloric Stenosis in the Adult , Brit. J. Radiol. 31:261, 1958.Crossref 20. Mack, H. C.: A History of Hypertrophic Pyloric Stenosis and Its Treatment , Bull. Hist. Med. 12:465, 1942. 21. Maier, R.: Beitrage zur angeborenen Pylorus-Stenosis , Virchow Arch. Path. Anat. 102:413, 1885.Crossref 22. Mayo-Robson, A. W., and Moynihan, B. G. A.: Diseases of the Stomach and Their Surgical Treatment , New York, William Wood Company, 1904. 23. McCann, J. C., and Dean, M. A.: Hypertrophy of Pyloric Muscle in the Adult , Surg. Gynec. Obstet. 90:535, 1950. 24. McClure, C. C.: Hypertrophy of the Pyloric Muscle in Adults , Surg. Gynec. Obstet. 52:945, 1931. 25. North, J. P., and Johnson, J. H.: Pyloric Hypertrophy in the Adult , Ann. Surg. 131:316, 1950.Crossref 26. Raia, A.; Curti, P.; DeAlmeida, A. C., and Fry, W.: The Pathogenesis of Hypertrophic Stenosis of the Pylorus in the Newborn and the Adult , Surg. Gynec. Obstet. 102:705, 1956. 27. Runyeon, W. K.; Hoerr, S. O., and Hazard, J. B.: Hypertrophic Pyloric Stenosis in the Adult , Cleveland Clin. Quart. 22:76, 1955.Crossref 28. Skoryna, S. C.; Dolan, H. S., and Gley, A.: A Development of Primary Pyloric Hypertrophy in Adults in Relation to the Structure and Function of the Pyloric Canal , Surg. Gynec. Obstet. 108:83, 1959. 29. Southwick, H. W.; Slaughter, D. P., and Bollinger, J. A.: Idiopathic Hypertrophic Pyloric Stenosis in an Elderly Adult , Illinois Med. J. 107: 139, 1955. 30. Stafford, E. S.: Hypertrophic Pyloric Stenosis in the Adult , Amer. Surg. 26:193, 1960. 31. Stewart, J. D.: Discussion , Ann. Surg. 151: 824, 1960. 32. Stinson, J. W.; Casillo, A. V., and Harter, E.: Hypertrophy of Pyloric Muscle in Adults , Penn. Med. J. 57:139, 1954. 33. Wallensten, S.: Pyloric Hypertrophy in Adults , Acta Chir. Scand. 104:285, 1952. 34. Wallstein, M.: Healing of Hypertrophic Pyloric Stenosis After Fredet-Rammsted Operation , Amer. J. Dis. Child. 23:511, 1922. 35. Wright, G. L., and Jeppsen, M. S.: Allergic Hypertrophic Pyloric Stenosis and Cholecystitis , Rocky Mountain Med. J. 55:63, 1958. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Idiopathic Hypertrophic Pyloric Stenosis in the Adult: A Review of the Literature and the Report of Two Cases

Archives of Surgery , Volume 85 (2) – Aug 1, 1962

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Publisher
American Medical Association
Copyright
Copyright © 1962 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1962.01310020037008
Publisher site
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Abstract

Abstract Since the occurrence of idiopathic hypertrophic pyloric stenosis in the adult is rare, no surgeon has had vast experience in the management of patients with this condition. The gross pathologic anatomy of this lesion is apparently identical with that of the common, more easily diagnosed infantile form of hypertrophic pyloric stenosis, and it is possible that these 2 clinical entities are related. Cruvielhier (cited by Mack20) (1835) was the first to describe the pathologic anatomy of hypertrophic pyloric stenosis in an adult. His case occurred in a 72-year-old woman with a long history of vomiting. Maier21 in 1885 first described it as a clinical entity based on pathologic findings at necropsy. The first surgical cure in an adult was reported by Mayo-Robson22 in 1904, who utilized a gastroenterostomy. Two patients with this condition were recently encountered at the Veterans Administration Hospital, Oteen, N.C. These 2 cases directed References 1. Ackerman, F. D.: A Case of Congenital Hypertrophic Pyloric Stenosis in a Man Aged Seventy-Two , Canad. Med. Ass. J. 21:423, 1929. 2. Armitage, G., and Rhind, J. A.: The Fate of the Tumor in Infantile Hypertrophic Pyloric Stenosis , Brit. J. Surg. 39:39, 1951.Crossref 3. Belding, H. H., and Kernohan, J. W.: A Morphologic Study of the Myenteric Plexus and Musculature of the Pylorus with Special Reference to the Changes in Hypertrophic Pyloric Stenosis , Surg. Gynec. Obstet. 97:322, 1953. 4. Bockus, H. H.: Gastroenterology , Vol. 1, Philadelphia, W. B. Saunders Company, 1946, p. 759. 5. Connolly, J. E.: Hypertrophic Pyloric Stenosis in the Adult , Amer. J. Surg. 89:1123, 1955.Crossref 6. Craver, W. L.: Hypertrophic Pyloric Stenosis in Adults , Gastroenterology 33:914, 1957. 7. DeLorimier, A. A., and Hieda, I.: Hypertrophic Antral and Pyloric Musculature in the Adult , Amer. J. Gastroent. 25:486, 1956. 8. Desmond, A. M., and Swynnerton, B. F.: Adult Hypertrophy of the Pylorus , Brit. Med. J. 1:968, 1957.Crossref 9. Donovan, E. J.: Congenital Hypertrophic Pyloric Stenosis , Ann. Surg. 124:708, 1946.Crossref 10. Dulin, J. W., and Ady, A. E.: Hypertrophic Pyloric Stenosis , J. Iowa Med. Soc. 41:188, 1951. 11. Fenwick, T.: Familial Hypertrophic Pyloric Stenosis , Brit. Med. J. 2:12, 1953.Crossref 12. Geist, D. C.: Hypertrophic Pyloric Stenosis in the Adult , Amer. J. Surg. 91:845, 1956.Crossref 13. Greenfield, H.: Hypertrophic Pyloric Stenosis in Adults , Ann. Intern. Med. 34:492, 1951.Crossref 14. Katz, A.: Hypertrophic Pyloric Stenosis in the Adult , Amer. J. Dig. Dis. 14:85, 1947.Crossref 15. Kirklin, B. R., and Harris, M. T.: Hypertrophy of the Pyloric Muscle of Adults: A Distinctive Roentgenologic Sign , Amer. J. Roentgenol. 29:437, 1933. 16. Kleitsch, W. P.: Diagnosis and Treatment of Pyloric Hypertrophy in the Adult , A.M.A. Arch. Surg. 65:655, 1952.Crossref 17. Knight, C. D.: Hypertrophic Pyloric Stenosis in the Adult , Ann. Surg. 153:899, 1961.Crossref 18. Laube, P. J.: Hypertrophic Pyloric Stenosis in the Adult: A Case Report , J. Iowa Med. Soc. 8:459, 1958. 19. Lunsden, K., and Truelove, S. C.: Primary Hypertrophic Pyloric Stenosis in the Adult , Brit. J. Radiol. 31:261, 1958.Crossref 20. Mack, H. C.: A History of Hypertrophic Pyloric Stenosis and Its Treatment , Bull. Hist. Med. 12:465, 1942. 21. Maier, R.: Beitrage zur angeborenen Pylorus-Stenosis , Virchow Arch. Path. Anat. 102:413, 1885.Crossref 22. Mayo-Robson, A. W., and Moynihan, B. G. A.: Diseases of the Stomach and Their Surgical Treatment , New York, William Wood Company, 1904. 23. McCann, J. C., and Dean, M. A.: Hypertrophy of Pyloric Muscle in the Adult , Surg. Gynec. Obstet. 90:535, 1950. 24. McClure, C. C.: Hypertrophy of the Pyloric Muscle in Adults , Surg. Gynec. Obstet. 52:945, 1931. 25. North, J. P., and Johnson, J. H.: Pyloric Hypertrophy in the Adult , Ann. Surg. 131:316, 1950.Crossref 26. Raia, A.; Curti, P.; DeAlmeida, A. C., and Fry, W.: The Pathogenesis of Hypertrophic Stenosis of the Pylorus in the Newborn and the Adult , Surg. Gynec. Obstet. 102:705, 1956. 27. Runyeon, W. K.; Hoerr, S. O., and Hazard, J. B.: Hypertrophic Pyloric Stenosis in the Adult , Cleveland Clin. Quart. 22:76, 1955.Crossref 28. Skoryna, S. C.; Dolan, H. S., and Gley, A.: A Development of Primary Pyloric Hypertrophy in Adults in Relation to the Structure and Function of the Pyloric Canal , Surg. Gynec. Obstet. 108:83, 1959. 29. Southwick, H. W.; Slaughter, D. P., and Bollinger, J. A.: Idiopathic Hypertrophic Pyloric Stenosis in an Elderly Adult , Illinois Med. J. 107: 139, 1955. 30. Stafford, E. S.: Hypertrophic Pyloric Stenosis in the Adult , Amer. Surg. 26:193, 1960. 31. Stewart, J. D.: Discussion , Ann. Surg. 151: 824, 1960. 32. Stinson, J. W.; Casillo, A. V., and Harter, E.: Hypertrophy of Pyloric Muscle in Adults , Penn. Med. J. 57:139, 1954. 33. Wallensten, S.: Pyloric Hypertrophy in Adults , Acta Chir. Scand. 104:285, 1952. 34. Wallstein, M.: Healing of Hypertrophic Pyloric Stenosis After Fredet-Rammsted Operation , Amer. J. Dis. Child. 23:511, 1922. 35. Wright, G. L., and Jeppsen, M. S.: Allergic Hypertrophic Pyloric Stenosis and Cholecystitis , Rocky Mountain Med. J. 55:63, 1958.

Journal

Archives of SurgeryAmerican Medical Association

Published: Aug 1, 1962

References