eMedicine Specialties > Radiology > Pediatrics

Hypertrophic Pyloric Stenosis: Multimedia

Author: Janet R Reid, MD, FRCP(C), Associate Professor of Radiology, Section Head of Pediatric Radiology, Children's Hospital of Cleveland Clinic
Contributor Information and Disclosures

Updated: Aug 3, 2009

Multimedia

Supine radiograph in an infant with vomiting demo...Media file 1: Supine radiograph in an infant with vomiting demonstrates the caterpillar sign.
Supine radiograph in an infant with vomiting demo...

Supine radiograph in an infant with vomiting demonstrates the caterpillar sign.

Longitudinal sonogram of the pylorus in a patient...Media file 2: Longitudinal sonogram of the pylorus in a patient with surgically proven hypertrophic pyloric stenosis. Note the thickened circular muscle, elongated pylorus, and narrowed pyloric channel.
Longitudinal sonogram of the pylorus in a patient...

Longitudinal sonogram of the pylorus in a patient with surgically proven hypertrophic pyloric stenosis. Note the thickened circular muscle, elongated pylorus, and narrowed pyloric channel.

Transverse sonographic image in a patient with pr...Media file 3: Transverse sonographic image in a patient with proven hypertrophic pyloric stenosis demonstrates the target sign and heterogeneous echo texture of the muscular layer (pylorus is deep to the anechoic gallbladder).
Transverse sonographic image in a patient with pr...

Transverse sonographic image in a patient with proven hypertrophic pyloric stenosis demonstrates the target sign and heterogeneous echo texture of the muscular layer (pylorus is deep to the anechoic gallbladder).

Longitudinal sonogram in a patient with hypertrop...Media file 4: Longitudinal sonogram in a patient with hypertrophic pyloric stenosis demonstrates a redundant mucosa that creates the antral nipple sign.
Longitudinal sonogram in a patient with hypertrop...

Longitudinal sonogram in a patient with hypertrophic pyloric stenosis demonstrates a redundant mucosa that creates the antral nipple sign.

Lateral view from an upper gastrointestinal study...Media file 5: Lateral view from an upper gastrointestinal study demonstrates the double-track sign.
Lateral view from an upper gastrointestinal study...

Lateral view from an upper gastrointestinal study demonstrates the double-track sign.

Upper gastrointestinal study from a child shows t...Media file 6: Upper gastrointestinal study from a child shows the string sign (see inset).
Upper gastrointestinal study from a child shows t...

Upper gastrointestinal study from a child shows the string sign (see inset).

More on Hypertrophic Pyloric Stenosis

Overview: Hypertrophic Pyloric Stenosis
Imaging: Hypertrophic Pyloric Stenosis
Follow-up: Hypertrophic Pyloric Stenosis
Multimedia: Hypertrophic Pyloric Stenosis
References
Further Reading

References

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Further Reading

Related eMedicine topics

Pediatrics, Pyloric Stenosis
 (Emergency Medicine)

Pyloric Stenosis, Hypertrophic (Pediatrics)

Hypertrophic Pyloric Stenosis, Surgical Treatment (Pediatrics)

Evidence based clinical practice guideline hypertrophic pyloric stenosis. Cincinnati Children's Hospital Medical Center - Hospital/Medical Center.  2001 Aug 8 (revised 2007 Nov 4).  17 pages.  NGC:006224

Clinical guidelines

ACR Appropriateness Criteria® vomiting in infants up to 3 months of age. American College of Radiology - Medical Specialty Society.  1995 (revised 2005).  7 pages. [NGC Update Pending] NGC:004792

Keywords

idiopathic hypertrophic pyloric stenosis, infantile hypertrophic pyloric stenosis, pyloric stenosis, HPS, IHPS, projectile vomiting, nonbilious infantile projectile vomiting

Contributor Information and Disclosures

Author

Janet R Reid, MD, FRCP(C), Associate Professor of Radiology, Section Head of Pediatric Radiology, Children's Hospital of Cleveland Clinic
Janet R Reid, MD, FRCP(C) is a member of the following medical societies: American Association for Women Radiologists, American Society of Neuroradiology, Ohio State Medical Association, Radiological Society of North America, Royal College of Physicians and Surgeons of Canada, and Society for Pediatric Radiology
Disclosure: Nothing to disclose.

Medical Editor

Robert J Starshak, MD, Medical Director, Assistant Clinical Professor, Department of Radiology, Medical College of Wisconsin, Falls Medical Group
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

David A Stringer, MBBS, FRCR, FRCPC, Professor, National University of Singapore; Head, Diagnostic Imaging, KK Women's and Children's Hospital, Singapore
David A Stringer, MBBS, FRCR, FRCPC is a member of the following medical societies: British Columbia Medical Association, Canadian Association of Radiologists, European Society of Paediatric Radiology, Ontario Medical Association, Radiological Society of North America, Royal College of Physicians and Surgeons of Canada, Royal College of Radiologists, and Society for Pediatric Radiology
Disclosure: Sirius d'innovation None Board membership

CME Editor

Robert M Krasny, MD, Resolution Imaging Medical Corporation
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

John Karani, MBBS, FRCR, Clinical Director of Radiology and Consultant Radiologist, Department of Radiology, King's College Hospital, London
John Karani, MBBS, FRCR is a member of the following medical societies: British Institute of Radiology, British Society of Interventional Radiology, Cardiovascular and Interventional Radiological Society of Europe, European Society of Gastrointestinal and Abdominal Radiology, European Society of Radiology, Radiological Society of North America, and Royal College of Radiologists
Disclosure: Nothing to disclose.

 
 
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