case_images: PMC11786661_01
case_images: Barium upper gastrointestinal series illustrating the pyloric diaphragm with a stenotic opening (Indicated by the arrows).
case_images: gr1.jpg
case_images: PMC11786661_01_gr1.jpg
case_images: f0005
case_images: Barium meal X-ray imaging revealed a narrowing at the level of the gastric outlet (Fig. 1).
case_images: Intraoperative image depicting the insertion of a tube to assess the degree of stenosis; the tube (indicated by the arrow) was unable to traverse the stenosis.
case_images: gr2.jpg
case_images: PMC11786661_01_gr2.jpg
case_images: f0010
case_images: A 2 cm incision on the greater curvature of the stomach allowed for exploration of the pylorus by inserting a tube through this incision (Fig. 2), which revealed severe narrowing at the pylorus and confirmed the presence of a diaphragm.
case_images: Image of the stomach demonstrating the closure of the longitudinal gastrotomy utilizing Heineke-Mikulicz pyloroplasty (indicated by the arrow).
case_images: gr3.jpg
case_images: PMC11786661_01_gr3.jpg
case_images: f0015
case_images: The diaphragm was excised, and a longitudinal gastrotomy through the stenotic area was performed, followed by closure using Heineke-Mikulicz pyloroplasty techniques (Fig. 3).