Abstract:

Vomiting is common symptom in childhood. There are many causes and it can also be seen in systemic pathologies such as gastrointestinal system disorders. Gastric outlet obstruction (GOO) in infancy may result from congenital or acquired causes. Acquired GOO in infancy is a rare condition. The acquired causes of GOO in infants are acid peptic disease, neoplasm and caustic ingestion. GOO is a well-known complication of corrosive ingestion and is a cause of vomiting. We report a male patient who was evaluated first at the age of two years because of abdominal pain, vomiting and weight loss. There was a history accidental ingestion of corrosive substance 3 weeks previously. On admission, his physical examination was normal except the poor general status caused by weight loss. Barium study findings showed a normal esophagus and complete obstruction at the gastric outlet with a dilated stomach. The evaluation revealed complete pyloric obstruction, and gastrojejunal anastomosis was performed. In conclusion, we suggest that GOO due to corrosive ingestion should be considered as a cause of vomiting in infancy. Corrosive ingestion history may be an important clue for these cases

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