INFANTILE HYPERTROPHIC PYLORIC-STENOSIS AFTER SURGERY FOR ESOPHAGEAL ATRESIA WITH TRACHEOESOPHAGEAL FISTULA

Infants with esophageal atresia and tracheoesophageal fistula may have other associated anomalies. The development of infantile hypertrophic pyloric stenosis in the postoperative course of esophageal atresia wi th tracheoesophageal fistula is rarely reported. Because its symptoms map mimick postoperative complications such as gastroesophageal reflux or anastomotic stricture, the diagnosis may be delayed. We report an infant who had surgery for esophageal atresia with tracheoesophageal f istula at birth. The infant presented with nonbilious projectile vomit ing at 4 weeks of age. Plain abdominal x-ray, barium upper gastrointes tinal series and abdominal ultrasonography all supported the diagnosis of hypertrophic pyloric stenosis. The diagnosis was confirmed during surgery. After pyloromyotomy, the patient's condition improved.