Infantile Hypertrophic Pyloric Stenosis, the Cause of Non-bilious Vomiting of a 3-day-old Male Infant with Situs Inversus Totalis; A Case Report
Bibliographic record
Abstract
Abstract Background: The Synchronicity of Situs Inversus totalis (SIT) and infantile hypertrophic pyloric stenosis (IHPS) is a rare phenomenon with only 2 reported cases in the literature. SIT is a mirror transposition of the major visceral organs, arranged along a left-right axis. Its prevalence is 0.1—0.6 per 10,000 live births. Rarely it is accompanied by neonatal intestinal obstruction, congenital heart defects, primary ciliary dyskinesia, renal disorders, biliary atresia, skeletal dysplasia, and mental retardation. IHPS is muscular hypertrophy of the pylorus, which results in gastric outlet obstruction leading to post-feeding non-bilious projectile vomiting. Its common age of involvement is three weeks to 3 months and is rarely reported in newborns. Case presentation: We have reported a case of synchronous SIT and IHPS in a 3-day-old newborn with classic symptoms. Following hemodynamic resuscitation, he underwent pyloromyotomy. The recovery and follow-up periods were uneventful, and the child's growth has resumed naturally. Conclusions: We present a patient with two extremely rare disorders leading to gastric outlet stenosis. In a newborn, even non-bilious vomiting can be a sign of a serious underlying condition and demands careful evaluation.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.002 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".