Document Detail

The antral nipple sign of pyloric mucosal prolapse: endoscopic correlation of a new sonographic observation in patients with pyloric stenosis.
MedLine Citation:
PMID:  7602686     Owner:  NLM     Status:  MEDLINE    
This study describes the antral nipple sign of pyloric mucosal prolapse, a newly delineated sonographic observation in patients with pyloric stenosis, correlates the endoscopic findings, and examines its prevalence and significance in 31 consecutive patients with pyloric stenosis. Fifty patients who did not have pyloric stenosis served as the control population. The antral nipple sign consists of visualization of prolapsed, hypertrophied pyloric mucosa protruding into the gastric antrum. Using the Wilcoxon scores (rank sums), there was no significant difference among the patients in age, weight, or pyloric muscle dimensions. Although the diagnosis of pyloric stenosis is made on the basis of muscle thickness, we have documented that the pyloric mucosa becomes redundant in infants with pyloric stenosis, permitting a fuller understanding of the anatomic correlate underlying the sonographic images.
M Hernanz-Schulman; P Dinauer; M M Ambrosino; D B Polk; W W Neblett
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine     Volume:  14     ISSN:  0278-4297     ISO Abbreviation:  J Ultrasound Med     Publication Date:  1995 Apr 
Date Detail:
Created Date:  1995-08-10     Completed Date:  1995-08-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8211547     Medline TA:  J Ultrasound Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  283-7     Citation Subset:  IM    
Department of Radiology, Vanderbilt University Children's Hospital, Nashville, Tennessee 37232-2675, USA.
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MeSH Terms
Endoscopy, Gastrointestinal*
Gastric Mucosa / pathology,  ultrasonography*
Prospective Studies
Pyloric Antrum / pathology*,  ultrasonography*
Pyloric Stenosis / pathology,  ultrasonography*
Retrospective Studies
Statistics, Nonparametric
Stomach Diseases / pathology,  ultrasonography*
Vomiting / etiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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