دورية أكاديمية
Navigating Inconclusive Upper-Gastrointestinal Series in Infantile Bilious Vomiting: A Case Series on Intestinal Malrotation.
| العنوان: | Navigating Inconclusive Upper-Gastrointestinal Series in Infantile Bilious Vomiting: A Case Series on Intestinal Malrotation. |
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| المؤلفون: | Low YX; Department of Diagnostic Imaging, National University Hospital, Singapore City, Singapore., Teo YM; Department of Diagnostic Imaging, National University Hospital, Singapore City, Singapore., Lee YY; Department of Paediatric Surgery, Khoo Teck Puat - National University Children's Medical Institute, National University Hospital, Singapore City, Singapore., Nyo YL; Department of Paediatric Surgery, Khoo Teck Puat - National University Children's Medical Institute, National University Hospital, Singapore City, Singapore., Loh DL; Department of Paediatric Surgery, Khoo Teck Puat - National University Children's Medical Institute, National University Hospital, Singapore City, Singapore., Mali VP; Department of Paediatric Surgery, Khoo Teck Puat - National University Children's Medical Institute, National University Hospital, Singapore City, Singapore. |
| المصدر: | The American journal of case reports [Am J Case Rep] 2024 Mar 14; Vol. 25, pp. e943056. Date of Electronic Publication: 2024 Mar 14. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: International Scientific Information, Inc Country of Publication: United States NLM ID: 101489566 Publication Model: Electronic Cited Medium: Internet ISSN: 1941-5923 (Electronic) Linking ISSN: 19415923 NLM ISO Abbreviation: Am J Case Rep Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2014- > : Smithtown, NY : International Scientific Information, Inc. Original Publication: Albertson, NY : International Scientific Literature, Inc. |
| مواضيع طبية MeSH: | Intestinal Atresia*/complications , Intestinal Volvulus*/diagnosis , Intestinal Volvulus*/surgery , Intestinal Volvulus*/complications, Female ; Humans ; Infant ; Infant, Newborn ; Male ; Duodenum/surgery ; Nausea ; Vomiting/etiology |
| مستخلص: | BACKGROUND Bilious vomiting in a child potentially portends the dire emergency of intestinal malrotation with volvulus, necessitating prompt surgical management, with differentials including small-bowel atresia, duodenal stenosis, annular pancreas, and intussusception. Although the upper-gastrointestinal series (UGI) is the diagnostic investigation of choice, up to 15% of the studies are inconclusive, thereby posing a diagnostic challenge. CASE REPORT We report a case series of 3 children referred for bilious vomiting, whose initial UGI was inconclusive and who were eventually confirmed to have intestinal malrotation at surgery. The first child was a female born at 37 weeks with antenatally diagnosed situs inversus and levocardia, who developed bilious vomiting on day 1 of life. The duodenojejunal flexure (DJ) could not be visualized on the UGI because of faint opacification on first pass of the contrast and subsequent overlap with the proximal jejunal loops. The second child was a male born at 36 weeks, presenting at age 4 months with bilious vomiting of 2 days duration. The third child was a female born at 29 weeks, presenting with bilious aspirates on day 3 of life. UGI for all 3 showed persistent hold-up of contrast at the proximal duodenum with no opacification of the distal duodenum or small bowel.Adjunctive techniques during the UGI and ultrasound examination helped achieve a preoperative diagnosis of malrotation in these children. CONCLUSIONS Application of diagnostic adjuncts to an inconclusive initial UGI may help elucidate a preoperative diagnosis of intestinal malrotation in infantile bilious vomiting. |
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| تواريخ الأحداث: | Date Created: 20240314 Date Completed: 20240315 Latest Revision: 20240401 |
| رمز التحديث: | 20240402 |
| مُعرف محوري في PubMed: | PMC10949343 |
| DOI: | 10.12659/AJCR.943056 |
| PMID: | 38483097 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1941-5923 |
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| DOI: | 10.12659/AJCR.943056 |