Adult Idiopathic Hypertrophic Pyloric Stenosis- A Diagnostic Challenge for Surgeons

Abstract

Background and Objectives: AIHPS (adult idiopathic hypertrophic pyloric stenosis) is an uncommon but clear cut condition in adults, with only 200-300 case reports are recorded in the articlesso far, now A case report of AIHPS treated in our hospital is discussed, as well as a review of the literature. Methods and Results: The patient had upper abdominal discomfort that started suddenly and was accompanied by nausea, vomiting, and anorexia. The pylorus showed a distinct "cervix sign" during an esophagogastroduodenoscopy (EGD). He next had a partial distal gastrectomy with a Billroth II gastrojejunostomy, which resulted in significant alleviation in his symptoms. Conclusion: Adult idiopathic hypertrophic pyloric stenosis (AIHPS) is an uncommon condition as it were underreported owing to diagnostic difficulties. After food nausea, vomiting, early satiety, and epigastric discomfort are the most prevalent symptoms of AIHPS, as shown in our case.Endoscopy impression reveals a distinct sign characterised by a fixed, constricted pylorus with a smooth border also known as cervix sign which is in diagnostic favour for AIHPS. Endoscopic dilatation, pyloromyotomy with forethought pyloroplasty, and gastrectomy with a BillrothII gastrojejunostomy have all been recommended as therapies for AIHPS. There is currently no proof that one surgical method is better than another. Before one approach can be established as the standard of care, more study on AIHPS is required.