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Report of Two Cases with Variable X-Ray Findings

HARRY C. MACK, M.D.

AMA Arch Intern Med. 1959;104(4):574-579.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Hypertrophic pyloric stenosis is not a very rare condition in the adult.¹ Although this lesion is much more prevalent during infancy (1 in 150 male infants in Sweden),² it occurs often enough in adult life to warrant consideration in our differential of upper gastrointestinal symptomatology.

Jean Cruveilhier first described adult hypertrophic stenosis in a 72-year-old woman, in 1892.³ Maier published a series of 31 adult cases, in 1885, all of whom had a history of symptoms in infancy suggestive of the congenital type of lesion.⁴ In 1928, Crohn concluded that very few of the adult cases had a congenital basis.⁵ Some investigators have considered the symptomatology and radiologic findings to be sufficiently characteristic to allow a clinical diagnosis of the entity.⁶

The purpose of this paper is to present two cases of adult hypertrophic pyloric stenosis, one focal, the other diffuse, in which the symptoms and radiologie findings were sufficiently . . . [Full Text PDF of this Article]

Author Affiliations
Detroit

From the Department of Medicine, Mount Carmel Mercy Hospital.

Footnotes
Submitted for publication Feb. 26, 1959.

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