Abuhandan, MÇaksen, HEskiçubuk, S2025-05-102025-05-1020040179-03581437-981310.1007/s00383-003-1108-02-s2.0-1842664381https://doi.org/10.1007/s00383-003-1108-0https://hdl.handle.net/20.500.14720/14804Abuhandan, Mahmut/0000-0002-5315-3209A 16-year-old boy was admitted with an 8-year history of abdominal pain, vomiting, and growth retardation. There was no history of peptic ulcer or caustic ingestion. He was severely cachexic, and barium meal showed a dilated stomach with delayed gastric emptying time and no contrast in the duodenum afterward. Exploratory laparotomy demonstrated a grossly dilated stomach with a smooth wall and a stenotic ring at the pylorus but without any muscular hypertrophy. There was no extrinsic compression of the pylorus or any scarring near it. Heineke-Mikulicz' pyloroplasty was performed. Histopathological examination of the pylorus showed normal cellular pattern without any neoplastic or inflammatory cells. The patient improved postoperatively and gained 8 kg in the first month following the operation.eninfo:eu-repo/semantics/closedAccessGastric Outlet ObstructionAdolescentArticle202Q3Q214815014760495WOS:000220459300020