Abstract
Hypertrophic pyloric stenosis is not a very rare condition in the adult. 1 Although this lesion is much more prevalent during infancy (1 in 150 male infants in Sweden), 2 it occurs often enough in adult life to warrant consideration in our differential of upper gastrointestinal symptomatology. Jean Cruveilhier first described adult hypertrophic stenosis in a 72-year-old woman, in 1892. 3 Maier published a series of 31 adult cases, in 1885, all of whom had a history of symptoms in infancy suggestive of the congenital type of lesion. 4 In 1928, Crohn concluded that very few of the adult cases had a congenital basis. 5 Some investigators have considered the symptomatology and radiologic findings to be sufficiently characteristic to allow a clinical diagnosis of the entity. 6 The purpose of this paper is to present two cases of adult hypertrophic pyloric stenosis, one focal, the other diffuse, in which the symptoms and radiologie findings were sufficiently
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