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August 1957

Inadequate Operation for Pyloric Stenosis

Author Affiliations

Ware, Mass.; Litchfield, Minn.

AMA Arch Surg. 1957;75(2):256-258. doi:10.1001/archsurg.1957.01280140094016

We have recently treated an infant who presented some of the diagnostic and therapeutic problems associated with inadequate initial surgery for congenital pyloric stenosis, and to emphasize this complication, which is rarely discussed, we are presenting the following case.

Report of Case  A 3-week-old male infant was admitted to the U. S. Army Hospital at Igloo, S. D., on May 7, 1956, because of persistent vomiting of three days' duration.At birth he was a normal, full-term, 8 lb. (3629 gm.) infant, who had been delivered spontaneously from an occiput-anterior position under saddleblock anesthesia after an unremarkable multiparous labor. After a five-day normal hospital course he was sent home on an evaporated-milk formula, which he tolerated well until vomiting began, four days prior to the present admission. Formula changes at home by his mother had no effect on the vomiting, which became more frequent and profuse, and on the day

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