Abstract
Retrospective review of the abdominal ultrasound (US) examination of 274 children studied for hypertrophic pyloric stenosis (HPS) was undertaken to determine if there is an increased incidence of renal disease as previously reported. Five major abnormalities were detected in the 126 children with HPS. Three lesions were newly diagnosed and two had been diagnosed previously. Five children had abnormalities classified as minor or normal variants. Renal abnormalities were found in six of the 148 children who did not HPS. Only three of these were newly diagnosed and medically important. Eight children without HPS had minor abnormalities or normal variants of the kidneys. Newly diagnosed medically important renal lesions were present in 2.4% of children screened for HPS. The incidence of the finding was the similar in children with and without HPS.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Teele RL, Smith EH (1977) Ultrasound in the diagnosis of idiopathic hypertrophic pyloric stenosis. N Engl J Med 296:1149–1150
Hayden CK Jr, Swischuk LE, Lobe TE, Schwartz MZ, Boulden T (1984) Ultrasound: the definitive imaging modality in pyloric stenosis. Radio Graphics 4:517–530
Ball TI, Altkinson GO Jr, Gay BB Jr (1983) Ultrasound diagnosis of hypertrophic pyloric stenosis: real-time application and the demonstration of a new sonographic sign. Radiology 147: 499–502
Blumhagen JD, Maclin L, Krauter D, Rosenbaum DM, Weinberger E (1988) Sonographic diagnosis of hypertrophic pyloric stenosis. AJR 150:1367–1370
Haller JO, Cohen HL (1986) Hypertrophic pyloric stenosis: diagnosis using US. Radiology 161:335–339
Forman HP, Leonidas JC, Kronfeld GD (1990) A rational approach to the diagnosis of hypertrophic pyloric stenosis: do the results match the claims? J Pediatr Surg 25:262–266
Atwell JD, Levick P (1981) Congenital hypertrophic pyloric stenosis and associated anomalies in the genito-urinary tract. J Pediatr Surg 16:1029–1035
Foley LC, Slovis TL, Campbell JB, Strain JD, Harvey LA, Luckey DW (1989) Evaluation of the vomiting infant. Am J Dis Child 143:660–661
Maizels M, Reisman ME, Flom LS, Nelson J, Fernbach S, Firlitt CF, Conway JJ (1992) Grading nephroureteral dilatation detected in the first year of life: correlation with obstruction. J Urol 148:609–614
Sheih CP, Liu MB, Hung CS, Hung CS, Yang KH, Chen WY, Lin CY (1989) Renal abnormalities in schoolchildren. Pediatrics 84: 1086–1090
Mihara M, Ito Y, Fukushima K, Yamashita F, Tsunosue M (1992) Ultrasonographic screening for renal abnormalities in three-year-old children. Acta Paediatr 81:326–328
Riccipetitoni G, Cherici R, Tamisari L, De Castro R, Manfredi S, Veroni G, Susini P, Georgacopulo P, Vigi V (1992) Postnatal ultrasound screening of urinary malformations. J Urol 148:604–605
Steinhart JM, Kuhn JP, Eisenberg B, Vaughn RL, Maggiolo AJ, Cozza TF (1988) Ultrasound screening of healthy infants for urinary tract abnormalities. Pediatrics 82:609–614
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Fernbach, S.K., Morello, F.P. Renal abnormalities in children with hypertrophic pyloric stenosis —fact or fallacy?. Pediatr Radiol 23, 286–288 (1993). https://doi.org/10.1007/BF02010916
Issue Date:
DOI: https://doi.org/10.1007/BF02010916