UMEM Educational Pearls

  • causes gastric outlet obstruction and vomiting
  • 1 in every 500 infants; with a 4:1 male-to-female ratio and a family history in another sibling
  • symptoms begin 2-4 weeks after birth, with projectile NON-bilious vomiting
  • firm, mobile, nontender, olive-shaped mass in right hypochondrium or epigastric area
  • diagnosis confirmed with US or upper GI series
  • treatment is a pyloromyotomy, but fluid and electrolyte replacement is vital in ED


NMS Pediatrics