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Gastric outlet obstruction due to pyloric mass in a 12-year-old girl
  1. Bradley MacDonald1,
  2. Sarah Rumore1,
  3. Ajay Sharma2,3,
  4. Zubin Grover1
  1. 1 Gastroenterology Department, Princess Margaret Hospital for Children, Subiaco, Western Australia, Australia
  2. 2 Gastroenterology Department, Joondalup Health Campus, Joondalup, Australia
  3. 3 Perth Paediatrics, West Leederville, Australia
  1. Correspondence to Dr Bradley MacDonald, Gastroenterology Department, Princess Margaret Hospital for Children, Subiaco, WA 6008, Australia; bradley.macdonald{at}

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A 12-year-old girl was referred with epigastric pain, postprandial vomiting, weight loss and a prior brief admission with haematemesis for which a proton pump inhibitor (PPI) was commenced. Upper gastrointestinal (UGI) endoscopy at a private hospital confirmed a pre-pyloric mass obstructing endoscope passage. A contrast CT scan showed a distended fluid-filled stomach, thickened pylorus and a 1.2 cm polypoid lesion (figure 1). Repeat UGI endoscopy revealed …

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  • Competing interests None declared.

  • Patient consent Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.