Radiological findings of gastric adenomyoma in a neonate presenting with gastric outlet obstruction.

Rhim, Jung; Kim, Woo; Choi, Young; Cheon, Jung-Eun; Park, Sung

Gastric adenomyoma is a rare tumour-like lesion composed of glandular components and smooth muscle bundles. We report a case of gastric adenomyoma in a 1-week-old neonate who presented with gastric outlet obstruction. To the best of our knowledge, this is the youngest child reported with gastric adenomyoma and a unique case demonstrating radiological findings of gastric adenomyoma in a young infant. At US, the lesion was seen as an asymmetrical mass-like wall-thickening of the pylorus. Upper gastrointestinal series showed findings similar to those seen in a case of hypertrophic pyloric stenosis. We suggest that gastric adenomyoma should be included in the causes of gastric outlet obstruction in neonates even though it is rare in young children.

GASTRIC outlet obstruction; NEONATAL diseases; GASTRIC diseases; STOMACH cancer; PYLORIC stenosis; PRECANCEROUS conditions

Pediatric Radiology, 2013, Vol 43, Issue 5, p628

0301-0449

Academic Journal

10.1007/s00247-012-2521-0