3 month infants with abdominal palpable mass & non bilious vomiting -
Hypertrophic biliary stenosis
Hypertrophic pyloric stenosis
Tracheoesophageal fistula
Duodenal atresia
Ans. is 'b' i.e., Hypertrophic pyloric stenosis Hypertophic pyloric stenosiso Most common cause of nonbilious vomiting is Hypertrophic pyloric stenosis,o Male > female.o Vomiting starts with 3 week of age.o Palpable mass is seen in epigastric region,o Visible peristalsis is seen soon after feeding,o Confirmed by USG abdomen,o Contrast study shows :Shoulder signDouble tract sign.o Treatment surgery = Ramstedt procedure.
Stomach and Intestines