Hypertrophic pyloric stenosis (HPS) is a common cause of non-bilious vomiting in infants. In USA, operation for HPS is one of the commonest surgical procedure performed on infants.1 Etiology remains poorly understood. A recent epidemiological survey from Sweden2 has noted a distinct difference in geographical distribution suggesting an environmental causation. A palpable pyloric 'tumor' is pres...

cases of enteric fever. Dr John Clark described the fevers which occurred in the Honourable East India Company's ships from 1770-85.2 He describes an epidemic on the voyage from India, and states that "in the beginning of this fever, inflammatory symptoms chiefly prevailed, frequently with bilious vomiting, but in its progress it changed into a typhus, pr was succeeded by a flux." It is not too...

was passed. Temperature was 99.4?F. but the pulse had risen to 102 though still of good volume. He vomited a small quantity of bilious matter. A differential leucocytic count showed 89 per cent polymorphonuclears. A provisional diagnosis of " obstruction with commencing peritonitis" was made and laparotomy decided on. At 9-30 a.m. when the patient arrived on the table his general condition was ...

In an infant presenting with a mass in the abdomen and non-bilious vomiting, duplication cyst needs to be considered in the list of differential diagnoses. Gastric duplication cyst is an uncommon occurrence in children. Diagnosis is based on clinical findings and imaging features. Surgical excision is safe and offers a complete cure. The literature recommends excision even in asymptomatic cases...

Aberrant rests of pancreatic tissue can be found throughout the gastrointestinal system and are known as pancreatic heterotopia or ectopic pancreas (EP). Authors report a 12-year-old girl with jejunal EP with a long-lasting history of sporadic bilious vomiting. Upper gastrointestinal (GI) study showed delayed passage beyond duodeno-jejunal junction. During laparotomy a 2x2 cm mass was encounter...