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August 1962

Idiopathic Hypertrophic Pyloric Stenosis in the Adult: A Review of the Literature and the Report of Two Cases

Author Affiliations

Formerly, Senior Resident in Surgery (Dr. Christiansen), and formerly, Chief, General Surgical Section (Dr. Grantham), Veterans Administration Hospital, Oteen.; From the Veterans Administration Hospital, Oteen, N.C.

Arch Surg. 1962;85(2):207-214. doi:10.1001/archsurg.1962.01310020037008

Since the occurrence of idiopathic hypertrophic pyloric stenosis in the adult is rare, no surgeon has had vast experience in the management of patients with this condition. The gross pathologic anatomy of this lesion is apparently identical with that of the common, more easily diagnosed infantile form of hypertrophic pyloric stenosis, and it is possible that these 2 clinical entities are related.

Cruvielhier (cited by Mack20) (1835) was the first to describe the pathologic anatomy of hypertrophic pyloric stenosis in an adult. His case occurred in a 72-year-old woman with a long history of vomiting. Maier21 in 1885 first described it as a clinical entity based on pathologic findings at necropsy. The first surgical cure in an adult was reported by Mayo-Robson22 in 1904, who utilized a gastroenterostomy.

Two patients with this condition were recently encountered at the Veterans Administration Hospital, Oteen, N.C. These 2 cases directed

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