%0 Journal Article %T ACTG2 %A Bradley Barth %A Charles F. Timmons %A Cory M. Pfeifer %A Dinesh Rakheja %A Luke M. Rice %A Rebecca R. J. Collins %A Samar Harris %A Stephen Megison %J International Journal of Surgical Pathology %@ 1940-2465 %D 2019 %R 10.1177/1066896918786586 %X Primary visceral myopathy caused by a pathogenic mutation in the gene encoding the enteric smooth muscle actin gamma 2 (ACTG2) affects gastrointestinal and genitourinary tracts and often presents as chronic intestinal pseudoobstruction. We present a case of pediatric onset chronic intestinal pseudoobstruction associated with a novel missense ACTG2 mutation c.439G>T/p.G147C. In addition to the known disease manifestations of feeding intolerance and intestinal malrotation, our patient had a late-onset hypertrophic pyloric stenosis and a late-onset choledochal cyst, the former of which has not previously been described in patients with ACTG2-associated visceral myopathy %K ACTG2 %K actin gamma 2 %K chronic intestinal pseudoobstruction %K choledochal cyst %K CIPO %K hypertrophic pyloric stenosis %K visceral myopathy %U https://journals.sagepub.com/doi/full/10.1177/1066896918786586