{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T17:58:04Z","timestamp":1773079084430,"version":"3.50.1"},"reference-count":10,"publisher":"California Digital Library (CDL)","issue":"4","license":[{"start":{"date-parts":[[2022,10,27]],"date-time":"2022-10-27T00:00:00Z","timestamp":1666828800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Introduction: Infantile hypertrophic pyloric stenosis (IHPS) is a common cause of infant vomiting. Emergency department (ED) diagnosis is usually made by pyloric ultrasound and treated by pyloromyotomy. \n\nCase Report: An eight-week-old boy with a history of IHPS about six weeks status post pyloromyotomy presented to the ED with vomiting and failure to thrive, and a critically narrowed pylorus was identified by ultrasound. An upper gastrointestinal series confirmed recurrent pyloric stenosis, necessitating another pyloromyotomy.\n\nConclusion: Prolonged vomiting after pyloromyotomy should be concerning for recurrent IHPS. Upper gastrointestinal series should augment ultrasound to diagnose recurrent IHPS and determine whether a second pyloromyotomy is warranted.<\/jats:p>","DOI":"10.5811\/cpcem.2022.8.57140","type":"journal-article","created":{"date-parts":[[2022,11,16]],"date-time":"2022-11-16T18:34:56Z","timestamp":1668623696000},"page":"284-287","source":"Crossref","is-referenced-by-count":3,"title":["Recurrent Infantile Hypertrophic Pyloric Stenosis in the Emergency Department: A Case Report"],"prefix":"10.5811","volume":"6","author":[{"given":"Adeola","family":"Kosoko","sequence":"first","affiliation":[{"name":"The University of Texas Health Sciences Center at Houston, McGovern Medical School, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diego","family":"Tobar","sequence":"additional","affiliation":[{"name":"The University of Texas Health Sciences Center at Houston, McGovern Medical School, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"29705","published-online":{"date-parts":[[2022,10,27]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Olson AD, Hernandez R, Hirschl RB. The role of ultrasonography in the diagnosis of pyloric stenosis: a decision analysis. J Pediatr Surg. 1998;33(5):676-81.","DOI":"10.1016\/s0022-3468(98)90186-5"},{"key":"ref1","doi-asserted-by":"crossref","unstructured":"2.\tHernanz-Schulman M. Pyloric stenosis: role of imaging. Pediatr Radiol. 2009;39 Suppl 2:S134-9.","DOI":"10.1007\/s00247-008-1106-4"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"3.\tAspelund G and Langer JC. Current management of hypertrophic pyloric stenosis. Semin Pediatr Surg. 2007;16(1):27-33.","DOI":"10.1053\/j.sempedsurg.2006.10.004"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"4.\tEin SH, Masiakos PT, Ein A. The ins and outs of pyloromyotomy: What we have learned in 35 years. Pediatr Surg Int. 2014;30(5):467-80.","DOI":"10.1007\/s00383-014-3488-8"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"5.\tAl-Ansari A and Altokhais T. Recurrent pyloric stenosis. Pediatr Int. 2016;58(7):619-21.","DOI":"10.1111\/ped.12958"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"6.\tVan Heurn LW, Vos P, Sie G. Recurrent vomiting after successful pyloromyotomy. Pediatr Surg Int. 15(5-6):385-6.","DOI":"10.1007\/s003830050606"},{"key":"ref6","doi-asserted-by":"crossref","unstructured":"7.\tCapiello CD and Strauch E. A rare case of recurrent hypertrophic pyloric stenosis. . Pediatr Surg Case Rep. 2014;2:519-21.","DOI":"10.1016\/j.epsc.2014.10.013"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"8.\tAnkermann T, Engler S, Partsch CJ. Repyloromyotomy for recurrent infantile hypertrophic pyloric stenosis after successful first pylotomyotomy. J Pediatr Surg. 2002;37(11):E40.","DOI":"10.1053\/jpsu.2002.36213"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"9.\tOkorie NM, Dickson JA, Carver RA, et al: What happens to the pylorus after pyloromyotomy? Arch Dis Child. 63(11):1339-41.","DOI":"10.1136\/adc.63.11.1339"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"10.\tYoshizawa J, Eto T, Higashimoto Y, et al. Ultrasonographic features of normalization of the pylorus after pyloromyotomy for hypertrophic pyloric stenosis. J Pediatr Surg. 36(4):582-6.","DOI":"10.1053\/jpsu.2001.22287"}],"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"deposited":{"date-parts":[[2022,11,16]],"date-time":"2022-11-16T18:35:09Z","timestamp":1668623709000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/3nf528c4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,27]]},"references-count":10,"issue-title":["Clinical Practice and Cases in Emergency Medicine"],"journal-issue":{"issue":"4","published-online":{"date-parts":[[2022,11,15]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.2022.8.57140","relation":{},"ISSN":["2474-252X","2474-252X"],"issn-type":[{"value":"2474-252X","type":"electronic"},{"value":"2474-252X","type":"print"}],"subject":[],"published":{"date-parts":[[2022,10,27]]}}}