case_images: PMC6874506_01
case_images: (
  A
  ) Operative photos showing the ports position in Tan's approach where A is umbilical port (telescope), B is duodenal grasper, and C is knife and spreader. (
  B
  ) Operative photo of laparoscopic view showing the myringotomy knife incising the pyloric mass of the pylorus. (
  C
  ) Operative photo of laparoscopic view after complete pyloromyotomy with shoe shine maneuver showing the incised thickened muscle with no obstruction with clear mucosa.
case_images: 10-1055-s-0039-1698400-i180434cr-1.jpg
case_images: PMC6874506_01_10-1055-s-0039-1698400-i180434cr-1.jpg
case_images: FI180434cr-1
case_images: Right upper quadrant incision of the abdomen for duodenal grasper and left upper quadrant of the abdomen for knife and spreader were performed ( Fig. 1A ). Complete pyloromyotomy was performed ( Fig. 1B and C ).
case_images: (
  A
  ) Radiologic photograph of abdomen with oral contrast postoperatively showing the retained contrast in the stomach. (
  B
  ) Operative photo in the second surgery shows cleavage of the Ladd's band.
case_images: 10-1055-s-0039-1698400-i180434cr-2.jpg
case_images: PMC6874506_01_10-1055-s-0039-1698400-i180434cr-2.jpg
case_images: FI180434cr-2
case_images: Therefore, 4 days later a contrast study was done that was nonconclusive as it showed delayed passage of the contrast material to small intestine ( Fig. 2A ). After conversion to an open procedure due to vital instability, a Ladd's procedure was done ( Fig. 2B ).