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19 Possible Causes for Epigastric Mass, Projectile Vomiting

  • Hypertrophic Pyloric Stenosis

    At this point, the possibility of IHPS was entertained and test-feeding was done but no epigastric mass was palpable.[panafrican-med-journal.com] A 34-day-old girl was admitted with chief complaints of projectile vomiting and poor weight gain.[ncbi.nlm.nih.gov] Unlike infants, an upper abdominal mass is rarely palpable in adult IHPS.[symptoma.com]

  • Congenital Pyloric Stenosis

    The infant may present with failure to retain feeds, persistent non-bilious vomiting after feeds, a palpable epigastric mass [which is the thickened pylorus] and dehydration[sonoworld.com] The features of projectile vomiting, a pyloric olive and visible peristalsis were studied and their clinical and diagnostic significance was compared with that of radiological[ncbi.nlm.nih.gov] .  Examination:  Palpable olive shaped mass (1.5-2cm) to the right of epigastric area.  Visible gastric peristalsis from Lt. upper quadrant to epigastrium  s/o dehydration[slideshare.net]

  • Pyloric Obstruction

    Abdominal examination revealed epigastric distention and a tympanic mass in the epigastric area was appreciated.[ispub.com] A cardiac echo showed tetrology of Fallot, for which prostaglandin therapy was started on the first day of life.The neonate developed projectile vomiting after feeds at the[sonoworld.com] The gastric outlet obstruction then causes non-bilious, projectile vomiting (hallmark of the diagnosis of pyloric stenosis) which depletes hydrochloric acid from the stomach[forums.studentdoctor.net]

  • Pyloric Stenosis

    .  Examination:  Palpable olive shaped mass (1.5-2cm) to the right of epigastric area.  Visible gastric peristalsis from Lt. upper quadrant to epigastrium  s/o dehydration[slideshare.net] Watch for these signs and symptoms: Projectile vomiting.[web.archive.org] Projectile vomiting usually takes place soon after the end of a feeding, although in some cases it can happen hours later.[kidshealth.org]

  • Partial Pyloric Obstruction

    A dilated stomach may be appreciated as a tympanic mass in the epigastric area and/or left upper quadrant.[laparoscopyhospital.com] The patient experiences projectile vomiting of partially digested food after eating; the vomitus does not contain bile.[medindia.net] Infants with pyloric stenosis are hungry and feed well but vomit forcefully (projectile vomiting) shortly after eating.[msdmanuals.com]

  • Gastroesophageal Reflux Disease

    […] of HB, acid regurgitation, dysphagia, and epigastric pain; and patient-reported time to HB relief with antacids/H 2 RAs.[web.archive.org] This is called projectile vomiting, and it may be a sign of pyloric stenosis , a condition that can lead to serious problems like malnourishment and dehydration.[babycenter.com] This is called projectile vomiting, and it may be a sign of pyloric stenosis, a condition that can lead to serious problems like malnourishment and dehydration.[babycenter.com]

  • Recurrent Acute Pancreatitis

    She had prior history of three similar episodes with epigastric pain, and diagnosed as having acute pancreatitis 2 mo ago.[ncbi.nlm.nih.gov] vomiting for 3 days.[amhsjournal.org] At time of admission, her height was 128.5 cm ( 95th percentile), weight 35.8 kg ( 95th percentile), and body mass index 21.7 kg/m(2) ( 95th percentile for age).[ncbi.nlm.nih.gov]

  • Infantile Hypertrophic Pyloric Stenosis 1

    At this point, the possibility of IHPS was entertained and test-feeding was done but no epigastric mass was palpable.[panafrican-med-journal.com] In contrast, projectile vomiting was controlled within 10 days in 17 patients.[adc.bmj.com] The infant may present with failure to retain feeds, persistent non-bilious vomiting after feeds, a palpable epigastric mass [which is the thickened pylorus] and dehydration[sonoworld.com]

  • Superior Mesenteric Artery Syndrome

    A 24-year-old women with body mass index of 14.9 presented with a 4-year history of vague abdominal pain mainly at the epigastric region, radiating to the back associated[ncbi.nlm.nih.gov] Early recognition of the nonspecific symptoms of abdominal pain, abdominal distension, bilious or projectile vomiting, hypoactive bowel sounds, and anorexia plays a key role[ncbi.nlm.nih.gov] She had epigastric tenderness and hyperactive bowel sounds without palpable masses or organomegalies. The remaining examination was unremarkable.[scielo.mec.pt]

  • Infantile Hepatic Hemangioendothelioma

    A large firm mass, with irregular surface was palpable over left hypochondrium, epigastric and left lumbar region measuring about 8 5 cm, not bimanually palpable.[ncbi.nlm.nih.gov] CASE REPORT On the 24th day of his life, a term newborn male was presented to the emergency department with non-bilious projectile vomiting for 48 h.[ncbi.nlm.nih.gov]

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