Gastric serosal tear due to congenital pyloric atresia: A rare anomaly, a rare complication

Gunaydin M., Rizalar R., Tugçe Bozkurter A., Tander B., Ariturk E., Bernay F.

African Journal of Paediatric Surgery, vol.8, no.2, pp.232-234, 2011 (Scopus) identifier identifier

  • Publication Type: Article / Article
  • Volume: 8 Issue: 2
  • Publication Date: 2011
  • Doi Number: 10.4103/0189-6725.86071
  • Journal Name: African Journal of Paediatric Surgery
  • Journal Indexes: Scopus
  • Page Numbers: pp.232-234
  • Keywords: Congenital abnormalities, Intestinal atresia
  • Ondokuz Mayıs University Affiliated: Yes


Congenital pyloric atresia (CPA) is a very rare malformation with unknown aetiology. It has has numerous complications including gastric perforation, aspiration pneumonia. Gastric perforations in newborns occur by three mechanisms: trauma, ischaemia, or spontaneous. Here, we report a newborn with CPA presenting with gastric serosal tearing without full-cut gastric perforation. The diagnosis was confirmed with the help of plain abdominal radiograph, ultrasound, contrast-study, and at operation. Treatment of CPA is surgery irrespective of the type of atresia. We performed serosa repair and then the solid, cord-like atretic pylorus was excised with accompanying gastroduodenostomy. Our patient had an uneventful course and was discharged at the end of the second postoperative week.