A 38-year-old white female with primary hypertrophic pyloric stenosis is pr
esented. The patient was admitted to our service with a history of upper di
gestive tract pain and postprandial vomiting since her 17th year of life. D
iagnosis of benign pyloric stenosis was made preoperatively and the patient
was successfully treated by Finney pyloroplasty. Primary hypertrophic pylo
ric stenosis in adults is a rare condition of unknown etiology. Only about
200 cases of primary hypertrophic pyloric stenosis in adults have been repo
rted in the literature.