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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. 1Gastroenterology Department, Princess Margaret Hospital for Children, Subiaco, Western Australia, Australia
  2. 2Gastroenterology Department, Joondalup Health Campus, Joondalup, Australia
  3. 3Perth 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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