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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 341:679-684 August 26, 1999 Number 9
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Case 26-1999— A Three-Week-Old Girl with Pyloric Stenosis and an Unexpected Operative Finding
Dennis P. Lund, and Carolyn C. Compton

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Presentation of Case

A three-week-old girl was admitted to the hospital for the treatment of hypertrophic pyloric stenosis.

The infant had been delivered by cesarean section because of an abnormal fetal-heart tracing. She was born at 39 weeks' gestation to a 38-year-old woman (gravida 5, para 2). There were no maternal risk factors for sepsis, and the prenatal screening tests were unremarkable. Hydramnios was noted on a fetal ultrasonographic study performed eight days before delivery. The birth weight was 3115 g; the Apgar scores were 4 at one minute and 8 at five minutes. The mother had received lithium during the pregnancy for . . . [Full Text of this Article]

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