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July 22, 1933


Author Affiliations

New Haven, Conn.
From the Department of Pediatrics, Yale University School of Medicine, and the Pediatric Service of the New Haven Hospital and Dispensary.

JAMA. 1933;101(4):278. doi:10.1001/jama.1933.27430290004010d

I am placing on record a report of multiple cases of pyloric stenosis occurring in the same family. Other instances of this occurrence have been reported by Freund,1 Grissen,2 Heubner,3 Rosenhaupt,4 Ibrahim,5 Still,6 Finkelstein,7 Richter,8 Sauer,9 Davis,10 Moore11 and Caulfield.12

There are three children in the family which came under my observation. The patients were the first and last born; the second child passed through infancy without any gastro-intestinal trouble. The first child came under observation in the New Haven Hospital at the age of 8 weeks. He had been vomiting for five weeks. In the hospital, projectile vomiting occurred after all feedings, peristaltic waves were visible over the stomach, and a hard rounded mass was palpable just to the right of the epigastrium. A Fredet-Rammstedt operation was performed at the end of the third hospital week; recovery