“
TL;DR
A preterm twin born at 28+2 weeks gestational age with a birthweight of 1325 g developed nonbilious vomiting and complete intolerance to oral feeding at 6 weeks of age.
JPGN Reports · 6 authors, 4 centres
This summary was generated by AI from a single paper. It has not been reviewed by a clinician and is not clinical advice. Verify against the source before acting on it.
A preterm twin born at 28+2 weeks gestational age with a birthweight of 1325 g developed nonbilious vomiting and complete intolerance to oral feeding at 6 weeks of age.
A preterm twin born at 28+2 weeks gestational age with a birthweight of 1325 g developed nonbilious vomiting and complete intolerance to oral feeding at 6 weeks of age. An initial pyloromyotomy at a referring hospital did not improve the condition. Transfer to a tertiary center revealed a stenotic pylorus on imaging and esophagogastroduodenoscopy showing severely inflamed gastric and esophageal mucosa. Congenital infection was ruled out by negative CMV testing on a dried blood spot from day 3 of life. An explorative laparotomy revealed a submucous fibrotic ring in the pylorus, which was resected and treated with pyloroplasty. Postoperatively, full enteral feeding was achieved by day 12. The patient was discharged at 41 weeks gestational age weighing 3410 g. This is reported as the first case of noncongenital neonatal CMV-associated gastric outlet obstruction.